Mora Family Dental Group PC
NPI #1023693470 in Fairfield, California
Provider Information
- NPI Number
- 1023693470
- Entity Type
- Organization
- Organization Name
- Mora Family Dental Group PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 1402 PENNSYLVANIA AVE
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-3507
- Phone
- (707) 425-6216
Authorized Official
- Name
- DR. LAUREL SANTOS, D.D.S.
- Title
- OFFICE MANAGER, SHAREHOLDER
- Phone
- (707) 425-6216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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