Provider First Line Business Practice Location Address:
13 PETER BEHR DR
Provider Second Line Business Practice Location Address:
MARIN COUNTY JAIL - DENTAL HEALTH
Provider Business Practice Location Address City Name:
SAN RAFAEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94903-5216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-499-6651
Provider Business Practice Location Address Fax Number:
415-499-7505
Provider Enumeration Date:
10/11/2006