Gisela Mora
Dentist in El Centro, CA. Individual provider (NPI-1).
NPI number1982113239
StatusActive
Last updated in NPPESSep 29, 2017
Details
- NPI
- 1982113239
- Entity type
- Individual (NPI-1)
- Name
- Gisela Mora
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2017
- Last updated
- Sep 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 102061 | CA | Yes |
Practice location
718 Mulberry LnEl Centro, CA 92243-4461
Phone 760-604-5064
Mailing address
718 Mulberry LnEl Centro, CA 92243-4461
Phone 760-604-5064
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All 24 Dentist providers in El Centro · All 2,209 providers in El Centro
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