Provider First Line Business Practice Location Address:
130 23RD AVE
Provider Second Line Business Practice Location Address:
NBVC PORT HUENEME BRANCH DENTAL CLINIC
Provider Business Practice Location Address City Name:
PORT HUENEME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-982-6320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2016