Provider First Line Business Practice Location Address:
1701 SUNRISE HWY, SPACE NO. C7
Provider Second Line Business Practice Location Address:
GREAT EXPRESSIONS DENTAL CENTER
Provider Business Practice Location Address City Name:
BAYSHORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-666-1440
Provider Business Practice Location Address Fax Number:
631-665-0033
Provider Enumeration Date:
08/13/2013