Provider First Line Business Practice Location Address:
WESTERN DENTAL CENTER 1821 N. LONG BEACH BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COMPTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
131-063-9426
Provider Business Practice Location Address Fax Number:
310-605-0646
Provider Enumeration Date:
12/20/2006