| Mohamad Iqball Rajabally | |
|
39675 Cedar Blvd St 100 Newark CA 94560 | |
| (510) 657-5510 | |
| (510) 657-5510 |
| Full Name | Mohamad Iqball Rajabally |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39675 Cedar Blvd, Newark, California |
| Authorized Official Name and Position | Mohamad Iaball Rajabally (DENTIST OWNER) |
| Authorized Official Contact | 5106575510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamad Iqball Rajabally 39675 Cedar Blvd St 100 Newark CA 94560 Ph: (510) 657-5510 | Mohamad Iqball Rajabally 39675 Cedar Blvd St 100 Newark CA 94560 Ph: (510) 657-5510 |
| NPI Number | 1487831921 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487831921 | NPI | - | NPPES |
| B36418-01 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36418 (California) | Primary |
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