Provider First Line Business Practice Location Address:
80 AUTUMN FERN TRAIL
Provider Second Line Business Practice Location Address:
EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Provider Business Practice Location Address City Name:
LILLINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-737-7350
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2006