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Individual
EDITH I MORA
Active
Individual
EDITH I MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3781
ME
122300000X
Dentist
Primary
58214
CA
Other
Enumeration date
03/21/2006
Last updated
12/02/2015
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