Provider First Line Business Practice Location Address:
685 MAIN ST. SUITE C
Provider Second Line Business Practice Location Address:
MORRO BAY DENTISTRY
Provider Business Practice Location Address City Name:
MORRO BAY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-772-8143
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2008