Provider First Line Business Practice Location Address:
652 GROVE AVENUE
Provider Second Line Business Practice Location Address:
GROVE DENTAL CARE
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08820-3225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-549-6082
Provider Business Practice Location Address Fax Number:
732-549-8916
Provider Enumeration Date:
09/28/2006