Provider First Line Business Practice Location Address:
19365 MAIN STREET CARDINAL DENTAL
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92648-2483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-393-2999
Provider Business Practice Location Address Fax Number:
657-464-9193
Provider Enumeration Date:
11/07/2008