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General NPI Number Information
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NPI Number | 1306713862
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Entity Type | Organization
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Legal Business Name | RUBEN MORA DDS, PC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2130 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92101-2110
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Country | US
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Telephone | 619-298-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 15481 TANNER RIDGE RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-3654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RUBEN E MORA
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Credential | DDS
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Telephone | 210-326-3926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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