A MOLA DDS APC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1043791890- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1050 NORTHGATE DR STE 505, SAN RAFAEL, CA, 949032542
- Phone
- (415) 499-9300
Specialties & Taxonomies
Dentist, General Practice
Primary License: CA #62246