Mora Family Dental Group Pc

LBN: Mora Family Dental Group Pc
Mora Family Dental Group Pc is an health care organization with primary practice located at 1402 Pennsylvania Ave , Fairfield CA 94533-3507. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Mora Family Dental Group Pc can be contacted via phone (707) 425-6216, or through Santos, Laurel via phone (707) 425-6216.

Contact Information

Primary practice address
1402 Pennsylvania Ave Fairfield CA 94533-3507
Phone: (707) 425-6216
Fax: (707) 425-6241
Website:
Map and Directions
Authorized official contact:
Name: Santos, Laurel Doctor of Dental Surgery (DDS)
Phone: (707) 425-6216

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1023693470
LBN Legal business name Mora Family Dental Group Pc
DBA Doing business as
Authorized official Santos, Laurel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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