Individual
DR. MICHAEL DAVID MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1220 E US HIGHWAY 45, SUITE 200, VERNON HILLS, IL 60061-4114
(847) 821-7222
Mailing address
1220 E US HIGHWAY 45, SUITE 200, VERNON HILLS, IL 60061-4114
(847) 913-9168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018620
IL
Other
Enumeration date
08/20/2006
Last updated
12/03/2015
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