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Organization
MOHAMAD IQBALL RAJABALLY
Active
Organization
MOHAMAD IQBALL RAJABALLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD IABALL RAJABALLY (DENTIST OWNER)
(510) 657-5510
Entity
Organization
Contact information
Practice address
39675 CEDAR BLVD, ST 100, NEWARK, CA 94560
(510) 657-5510
(510) 657-5510
Mailing address
39675 CEDAR BLVD, ST 100, NEWARK, CA 94560
(510) 657-5510
(510) 657-5587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B36418-01
MEDI-CAL
CA
Enumeration date
01/28/2008
Last updated
10/08/2015
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