Rosa Mora D.d.s

NPI 1114154952 - Dentist - 122300000X

NPI Details
NPI 1114154952
Enumeration Date 06/19/2009
Last Updated 06/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROSA ROSA
Position OWNER
Phone (956) 583-5050
Fax (956) 583-5067
Practice Location
921 E MAIN AVE
SUITE2
ALTON TX, 78573-0952, US
Phone (956) 583-5050
Fax (956) 583-5067
Business Location
921 E MAIN AVE
SUITE 2
MISSION TX, 78573, US
Phone (956) 583-5050
Fax (956) 583-5067
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 20419
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According to our database, Rosa Mora D.d.s NPI is 1114154952, taxonomy code is 122300000X and license number is 20419, license state is located at Texas. Rosa Mora D.d.s physically located at 921 E Main Ave, Alton TX, 78573-0952. NPI Number 1033115704 has the healthcare provider type.

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1114154952 NPI number is provided on an as is basis without warranty of any kind. 1114154952 is maintained by the National Plan & Provider Enumeration System. The contents of Rosa Mora D.d.s are for informational purposes only.