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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