Organization
ALI MODARRES, D.D.S.,APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MODARRES DDS (DENTIST)
(714) 692-1767
Entity
Organization
Contact information
Practice address
24835 LA PALMA AVE STE F, YORBA LINDA, CA 92887-5532
(714) 692-1767
(714) 692-1931
Mailing address
24835 LA PALMA AVE STE F, YORBA LINDA, CA 92887-5532
(714) 692-1767
(714) 692-1931
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
39186
CA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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