Provider First Line Business Practice Location Address:
CHILDREN'S DENTAL CENTER AND BIG PEOPLE, TOO
Provider Second Line Business Practice Location Address:
1155 N. CAPITOL AVENUE #160
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-272-2720
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006