Provider First Line Business Practice Location Address:
3028 LINDBERGH AVE
Provider Second Line Business Practice Location Address:
DENTAL CLINIC
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-1518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-752-8349
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2007