| Mission Viejo Modern Dentistry, Prof. Corp. | |
|
23962 Alicia Pkwy Ste F106 Mission Viejo CA 92691-3940 | |
| (949) 354-5908 | |
| (949) 382-1610 |
| Full Name | Mission Viejo Modern Dentistry, Prof. Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23962 Alicia Pkwy Ste F106, Mission Viejo, California |
| Authorized Official Name and Position | Seyedeh Golnaz Zokaeian (OWNER) |
| Authorized Official Contact | 9493545908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Viejo Modern Dentistry, Prof. Corp. Po Box 660041 Dallas TX 75266-0041 Ph: (714) 845-8890 | Mission Viejo Modern Dentistry, Prof. Corp. 23962 Alicia Pkwy Ste F106 Mission Viejo CA 92691-3940 Ph: (949) 354-5908 |
| NPI Number | 1295676260 |
|---|---|
| Provider Enumeration Date | 04/03/2026 |
| Last Update Date | 04/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295676260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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