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1720047608
EDITH I MORA
STOCKTON, CA
NPI
1720047608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 58214)
Additional Taxonomies
122300000X Dentist
(Licence: ME 3781)
Enumeration Date
2006-03-21
Last Update Date
2015-12-02
Business Address
-- EDITH I MORA DMD
3133 W MARCH LN STE 1080
STOCKTON, CA 95219-2360
Phone number: 209-951-4304
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Mailing Address
-- EDITH I MORA DMD
3133 W MARCH LN STE 1080
STOCKTON, CA 95219-2360
Phone number: 209-951-4304
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