# A MOLA DDS APC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALIREZA MOLA DDS INC
- **Other names:** Select Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043791890
- **Legal business name:** ALIREZA MOLA DDS INC
- **Authorized official:** DR. ALIREZA MOLA GENERAL DENTIST DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (510) 590-7297

## Contact information

- **Practice address:** 1050 NORTHGATE DR STE 505, SAN RAFAEL, CA 94903-2542
- **Practice address phone:** (415) 499-9300
- **Mailing address:** 145 E 14TH ST \# 100, SAN LEANDRO, CA 94577-1661
- **Mailing address phone:** (510) 587-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 62246 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 09/20/2018