Mora Dental Group, Inc. | |
3133 W March Ln Ste 1080 Stockton CA 95219-2360 | |
(209) 951-4304 | |
(209) 951-8910 |
Full Name | Mora Dental Group, Inc. |
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Speciality | Dentist - General Practice |
Location | 3133 W March Ln Ste 1080, Stockton, California |
Authorized Official Name and Position | Noe Mora (DENTIST/OWNER) |
Authorized Official Contact | 2099514304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mora Dental Group, Inc. 3133 W March Ln Ste 1080 Stockton CA 95219-2360 Ph: (209) 951-4304 | Mora Dental Group, Inc. 3133 W March Ln Ste 1080 Stockton CA 95219-2360 Ph: (209) 951-4304 |
NPI Number | 1093132185 |
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Provider Enumeration Date | 03/26/2014 |
Last Update Date | 12/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093132185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (California) | Primary |
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