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Organization
A. ALEX RAJABI, DDS, INC.
Active
Organization
A. ALEX RAJABI, DDS, INC.
Active
Other names
PORTOLA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS RAJABI DDS (PRESIDENT)
(949) 916-4500
Entity
Organization
Contact information
Practice address
26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
(949) 916-4500
(949) 916-4544
Mailing address
26730 TOWNE CENTRE DR STE 101, FOOTHILL RANCH, CA 92610-2857
(949) 916-4500
(949) 916-4544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12059-34346
PERSONAL NPI
CA
Enumeration date
06/04/2013
Last updated
06/04/2013
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