Provider First Line Business Practice Location Address:
4101 ARNOLD AVE
Provider Second Line Business Practice Location Address:
VA /MCCLELLAN DENTAL SERVICE
Provider Business Practice Location Address City Name:
SCRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-561-7800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/15/2005