Individual
DR. MARIA ALEJANDRA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1629 S PRAIRIE AVE, CHICAGO, IL 60616-4403
(919) 923-8729
(954) 374-7041
Mailing address
1629 S PRAIRIE AVE, UNIT 3007, CHICAGO, IL 60616-4403
(919) 923-8729
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
019030538
IL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
27606
TX
Other
Enumeration date
01/03/2012
Last updated
01/06/2016
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