Individual
SAMANTHA BERENICE MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1637 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4042
(401) 787-1608
Mailing address
184 WOONASQUATUCKET AVE APT 310, PROVIDENCE, RI 02911-7122
(402) 312-8490
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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