Provider First Line Business Practice Location Address:
4007 N MARKS AVE SUITE #102
Provider Second Line Business Practice Location Address:
ASHLAND DENTAL CENTER
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-225-5800
Provider Business Practice Location Address Fax Number:
559-225-4004
Provider Enumeration Date:
01/08/2007