| Edith Mora Dmd, Inc. | |
|
3133 W March Ln Ste 1080 Stockton CA 95219-2360 | |
| (209) 951-4304 | |
| Not Available |
| Full Name | Edith Mora Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3133 W March Ln Ste 1080, Stockton, California |
| Authorized Official Name and Position | Edith Ivonne Mora (DENTIST) |
| Authorized Official Contact | 2094622452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Mora Dmd, Inc. 3133 W March Ln Ste 1080 Stockton CA 95219-2360 Ph: (209) 951-4304 | Edith Mora Dmd, Inc. 3133 W March Ln Ste 1080 Stockton CA 95219-2360 Ph: (209) 951-4304 |
| NPI Number | 1245628270 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245628270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58214 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 53470 (California) | Secondary |
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