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Organization
VICTOR MORA D.D.S.
Active
Organization
VICTOR MORA D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR JORDAN MORA D.D.S. (OWER)
(619) 425-8060
Entity
Organization
Contact information
Practice address
480 4TH AVE, STE # 314, CHULA VISTA, CA 91910-4410
(619) 425-8060
(619) 426-8343
Mailing address
480 4TH AVE, STE # 314, CHULA VISTA, CA 91910-4410
(619) 425-8060
(619) 426-8343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477624872
DENTICAL
CA
Enumeration date
04/03/2014
Last updated
04/03/2014
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