Provider First Line Business Practice Location Address:
1203 J ST
Provider Second Line Business Practice Location Address:
UOP UNION CITY DENTAL CARE CENTER
Provider Business Practice Location Address City Name:
UNION CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94587-3331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-477-2311
Provider Business Practice Location Address Fax Number:
510-471-2513
Provider Enumeration Date:
02/10/2010