Individual
DR. ALFRED JOSE MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
221 S 6TH ST, FORT PIERCE, FL 34950-4223
(772) 464-2300
(772) 464-2322
Mailing address
PO BOX 3629, FORT PIERCE, FL 34948-3629
(772) 464-2300
(772) 464-2322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011851
FL
Other
Enumeration date
04/11/2007
Last updated
10/24/2013
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