Provider Demographics
NPI:1225308695
Name:LINDA N. MORI, D.D.S., A.P.C.
Entity Type:Organization
Organization Name:LINDA N. MORI, D.D.S., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-846-0864
Mailing Address - Street 1:2680 RASMUSSEN CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8396
Mailing Address - Country:US
Mailing Address - Phone:925-858-1478
Mailing Address - Fax:
Practice Address - Street 1:5990 STONERIDGE DR
Practice Address - Street 2:SUITE 117
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4517
Practice Address - Country:US
Practice Address - Phone:925-858-1478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty