Provider First Line Business Practice Location Address:
1155 N CAPITOL AVE STE 160
Provider Second Line Business Practice Location Address:
CHILDREN'S DENTAL CARE AND BIG PEOPLE TOO
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95132-2500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-272-2720
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006