Individual
ALI REZA MOJAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1439 CEDARWOOD LN, STE D, PLEASANTON, CA 94566-6151
(925) 484-1202
(925) 484-1271
Mailing address
3313 PRINTEMPS DR, MODESTO, CA 95356-9313
(209) 545-7993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56145
CA
Other
Enumeration date
08/22/2007
Last updated
04/22/2013
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