Provider First Line Business Practice Location Address:
618TH DENTAL COMPANY AS USA DENTAC
Provider Second Line Business Practice Location Address:
UNIT 15652
Provider Business Practice Location Address City Name:
SEOUL
Provider Business Practice Location Address State Name:
SEOUL
Provider Business Practice Location Address Postal Code:
96205 5652
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
11-822-7917
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2016