NPI | 1023693470 |
---|---|
Doing Business As | MORA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LAUREL SANTOS Office Manager, Shareholder 707-425-6216 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-03-16 |
Last Update Date | 2021-03-16 |