Individual
DR. JUAN CARLOS MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
22 MYSTIC LN, SUITE A, MALVERN, PA 19355-1942
(610) 240-7730
(610) 240-7733
Mailing address
22 MYSTIC LN, SUITE A, MALVERN, PA 19355-1942
(610) 240-7730
(610) 240-7733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037123
PA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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