Provider First Line Business Practice Location Address:
35900 BOB HOPE DRIVE STE 110
Provider Second Line Business Practice Location Address:
TMJ HEAD AND NECK PAIN CENTER
Provider Business Practice Location Address City Name:
RANCHO MIRAGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92270
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-770-4033
Provider Business Practice Location Address Fax Number:
760-770-3975
Provider Enumeration Date:
12/15/2006