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Organization
ROSA MORA D.D.S
Active
Organization
ROSA MORA D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA MORA DDS (OWNER)
(956) 583-5050
Entity
Organization
Contact information
Practice address
921 E MAIN AVE, SUITE2, ALTON, TX 78573-0952
(956) 583-5050
(956) 583-5067
Mailing address
921 E MAIN AVE, SUITE 2, MISSION, TX 78573
(956) 583-5050
(956) 583-5067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151616301
—
TX
Enumeration date
06/19/2009
Last updated
06/19/2009
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