Provider First Line Business Practice Location Address:
2604 S. VERMONT AVE., #F
Provider Second Line Business Practice Location Address:
WEST COAST DENTAL GROUP
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-731-3333
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2012