Individual
DR. ALIREZA S MOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 E 14TH ST STE 100, SAN LEANDRO, CA 94577-1661
(510) 590-7297
(510) 633-0101
Mailing address
145 E 14TH ST STE 100, SAN LEANDRO, CA 94577-1661
(510) 590-7297
(510) 633-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62246
CA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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