Provider First Line Business Practice Location Address:
9 25 ALLING STREET
Provider Second Line Business Practice Location Address:
DENTAL HEALTH ASSOCIATES PA
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-297-1550
Provider Business Practice Location Address Fax Number:
973-297-1554
Provider Enumeration Date:
10/05/2006