Organization · Type 2 NPI

A Mola DDS Apc

General Practice Dentistry · San Rafael, CA

NPI number 1043791890 Active

Practice location

1050 Northgate Dr Ste 505
San Rafael, CA 94903-2542

Call (415) 499-9300 Map

Mailing address

145 E 14th St # 100
San Leandro, CA 94577-1661

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	62246 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1043791890
Entity type: Organization (Type 2)
Issued: Aug 28, 2018
Last updated: Sep 20, 2018
Status: Active
Subpart: Yes of Alireza Mola DDS Inc

Other names

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Select Dental · doing business as
Select Dental · doing business as

Authorized official

Dr. Alireza Mola, GENERAL DENTIST DDS
Owner/president
(510) 590-7297

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043791890

A Mola DDS Apc's National Provider Identifier is 1043791890, issued on Aug 28, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Rafael, CA. The record was last updated on Sep 20, 2018.