Redford Vista Dental Corporation | |
630 Alta Vista Dr Ste 108 Vista CA 92084-5505 | |
(760) 724-6537 | |
Not Available |
Full Name | Redford Vista Dental Corporation |
---|---|
Speciality | Clinic/center - Dental |
Location | 630 Alta Vista Dr Ste 108, Vista, California |
Authorized Official Name and Position | Valerie Rogers (OFFICE MANAGER) |
Authorized Official Contact | 9516775113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Redford Vista Dental Corporation 630 Alta Vista Dr Ste 108 Vista CA 92084-5505 Ph: (760) 724-6537 | Redford Vista Dental Corporation 630 Alta Vista Dr Ste 108 Vista CA 92084-5505 Ph: (760) 724-6537 |
NPI Number | 1952002602 |
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Provider Enumeration Date | 03/10/2023 |
Last Update Date | 03/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952002602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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