A Mola DDS Apc

NPI #1043791890 in San Rafael, California

Provider Information

NPI Number
1043791890
Entity Type
Organization
Organization Name
A Mola DDS Apc
Subpart
Yes (part of a larger organization)
Parent Organization
ALIREZA MOLA DDS INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 28, 2018
Last Updated
Sep 20, 2018

Practice Location

Address
1050 NORTHGATE DR STE 505
ZIP Code
94903-2542
Phone
(415) 499-9300

Authorized Official

Name
DR. ALIREZA MOLA, GENERAL DENTIST DDS
Title
OWNER/PRESIDENT
Phone
(510) 590-7297

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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