Provider First Line Business Practice Location Address:
1183 E. MAIN ST.
Provider Second Line Business Practice Location Address:
BRIGHT SMILE DENTAL CARE
Provider Business Practice Location Address City Name:
EL CAJON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92021-7165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-441-2566
Provider Business Practice Location Address Fax Number:
619-441-2554
Provider Enumeration Date:
01/21/2009