Mora, Edith I

Mora, Edith I is an individual health care provider with primary practice located at 3133 W March Ln Ste 1080 , Stockton CA 95219-2360. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mora, Edith I can be contacted via phone (209) 951-4304.

Contact Information

Primary practice address
3133 W March Ln Ste 1080 Stockton CA 95219-2360
Phone: (209) 951-4304
Fax: (209) 951-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3781 Maine
Dental Providers / Dentist 122300000X 58214 California

Profile Details

NPI number 1720047608
LBN Legal business name Mora, Edith I
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 2nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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