Edith Mora Dmd, Inc.

NPI #1245628270 in Stockton, California

Provider Information

NPI Number: 1245628270
Entity Type: Organization
Organization Name: Edith Mora Dmd, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 29, 2014
Last Updated: Dec 2, 2015

Practice Location

Address: 3133 W MARCH LN STE 1080
City: Stockton
State: California
ZIP Code: 95219-2360
Phone: (209) 951-4304

Authorized Official

Name: DR. EDITH IVONNE MORA, D.M.D
Title: DENTIST
Phone: (209) 462-2452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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