| NPI | 1043791890 |
|---|---|
| Doing Business As | SELECT DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALIREZA MOLA Owner/President 510-590-7297 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 62246) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-09-20 |