EDITH I MORA

STOCKTON, CA
NPI1720047608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  58214)
Additional Taxonomies122300000X Dentist
(Licence: ME  3781)
Enumeration Date2006-03-21
Last Update Date2015-12-02
Business Address
-- EDITH I MORA DMD
3133 W MARCH LN STE 1080
STOCKTON, CA 95219-2360
Phone number: 209-951-4304
Mailing Address
-- EDITH I MORA DMD
3133 W MARCH LN STE 1080
STOCKTON, CA 95219-2360
Phone number: 209-951-4304