DR. Juan Carlos Mora, D.M.D
NPI #1144415597 in Malvern, Pennsylvania
Provider Information
- NPI Number
- 1144415597
- Entity Type
- Individual
- Name
- DR. Juan Carlos Mora, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Sep 10, 2007
- Last Updated
- Sep 10, 2007
Practice Location
- Address
- 22 MYSTIC LN
- Address 2
- SUITE A
- City
- Malvern
- State
- Pennsylvania
- ZIP Code
- 19355-1942
- Phone
- (610) 240-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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