Provider First Line Business Practice Location Address:
HANMI BLDG MIDDLE RD
Provider Second Line Business Practice Location Address:
NEW WAVE DENTAL CLINIC
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-233-3300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2007