Organization
DC MORA DDS
Active
Other names
Hometown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOLORES C MORA DDS (OWNER)
(281) 391-8882
Entity
Organization
Contact information
Practice address
1464 S CIRCLE ST, SEALY, TX 77474-3914
(979) 627-7779
(979) 627-7203
Mailing address
1464 S CIRCLE ST, SEALY, TX 77474-3914
(979) 627-7779
(979) 627-7203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801842281
—
TX
Enumeration date
01/04/2010
Last updated
04/28/2010
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