Provider First Line Business Practice Location Address:
5800 3RD AVE.
Provider Second Line Business Practice Location Address:
NYU LUTHERAN DENTAL MEDICINE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-630-7152
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2016