Mora Dental Center
NPI #1700065687 in Mora, Minnesota
Provider Information
- NPI Number
- 1700065687
- Entity Type
- Organization
- Organization Name
- Mora Dental Center
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 29, 2007
- Last Updated
- Oct 29, 2007
Practice Location
Authorized Official
- Name
- RENY CHACKO, D.D.S.
- Title
- DENTIST
- Phone
- (320) 679-2147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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