Provider First Line Business Practice Location Address:
2844 SUMMIT STREET, SUITE 209
Provider Second Line Business Practice Location Address:
BAY ENDODONTICS
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-451-3636
Provider Business Practice Location Address Fax Number:
510-451-3607
Provider Enumeration Date:
08/04/2006