Organization
CORONA VISTA DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS MODARRES DDS (OWNER DENTIST)
(714) 290-1957
Entity
Organization
Contact information
Practice address
1530 W 6TH ST STE 105, CORONA, CA 92882-2795
(714) 290-1957
Mailing address
27030 DAISY CIR, YORBA LINDA, CA 92887-4233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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