Mora, Noe

Mora, Noe is an individual health care provider with primary practice located at 3133 W March Ln Ste 1080 , Stockton CA 95219-2360. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Mora, Noe can be contacted via phone (209) 951-4304.

Contact Information

Primary practice address
3133 W March Ln Ste 1080 Stockton CA 95219-2360
Phone: (209) 951-4304
Fax: (209) 951-8910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3750 Maine
Dental Providers / General Practice 1223G0001X 53470 California

Profile Details

NPI number 1285693168
LBN Legal business name Mora, Noe
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285693168 NPPES
Maine MEDICAID 431567699

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