Provider First Line Business Practice Location Address:
2950 INTERNATIONAL BLVD.
Provider Second Line Business Practice Location Address:
DENTAL DEPT
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-535-4450
Provider Business Practice Location Address Fax Number:
510-535-4494
Provider Enumeration Date:
10/06/2006