Provider First Line Business Practice Location Address:
28410 OLD TOWNE FRONT ST
Provider Second Line Business Practice Location Address:
SUITE #110 DENTURES 4 U AND GENERAL DENTISTRY 2
Provider Business Practice Location Address City Name:
TEMECULA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92590
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-506-6555
Provider Business Practice Location Address Fax Number:
951-694-6550
Provider Enumeration Date:
04/16/2007