Individual
ANA CECILIA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 PARADISE VALLEY RD STE 122, SPRING VALLEY, CA 91977-6214
(619) 479-9143
Mailing address
1583 CIRCULO BRINDISI, CHULA VISTA, CA 91915-4133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102459
CA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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