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Organization
MORAMERC DENTAL GROUP LLC
Active
Organization
MORAMERC DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIANA P MORA DMD (OWNER)
(754) 265-5528
Entity
Organization
Contact information
Practice address
1254-56 KINGSWAY ROAD, SUITE 13-14, BRANDON, FL 33510
(754) 265-5528
Mailing address
1254-56 KINGSWAY ROAD, SUITE 13-14, BRANDON, FL 33510
(754) 265-5528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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