| Ann Moore, Dds | |
|
15068 San Pedro San Antonio TX 78232-3714 | |
| (210) 494-7681 | |
| (210) 494-7682 |
| Full Name | Ann Moore, Dds |
|---|---|
| Speciality | Dentist |
| Location | 15068 San Pedro, San Antonio, Texas |
| Authorized Official Name and Position | Ann Moore (OWNER) |
| Authorized Official Contact | 2104947681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Moore, Dds 15068 San Pedro San Antonio TX 78232-3714 Ph: (210) 494-7681 | Ann Moore, Dds 15068 San Pedro San Antonio TX 78232-3714 Ph: (210) 494-7681 |
| NPI Number | 1043515695 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043515695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18776 (Texas) | Primary |
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