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Organization
REDFORD VISTA DENTAL CORPORATION
Active
Organization
REDFORD VISTA DENTAL CORPORATION
Active
Other names
Vista Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ROGERS (OFFICE MANAGER)
(951) 677-5113
Entity
Organization
Contact information
Practice address
630 ALTA VISTA DR STE 108, VISTA, CA 92084-5505
(760) 724-6537
Mailing address
630 ALTA VISTA DR STE 108, VISTA, CA 92084-5505
(760) 724-6537
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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