Provider First Line Business Practice Location Address:
900 SOUTH PAULA LN
Provider Second Line Business Practice Location Address:
MOBILE DENTAL HYGIENIST
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-251-2974
Provider Business Practice Location Address Fax Number:
714-956-7162
Provider Enumeration Date:
07/23/2010