| Dr Matthew T Moberg, DDS | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa - Lackland, TX 78236-5638 | |
| (210) 808-1111 | |
| Not Available |
| Full Name | Dr Matthew T Moberg |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa - Lackland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851532980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020027 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew T Moberg, DDS 1100 Wilford Hall Loop Bldg 4554, Jbsa - Lackland, TX 78236-5638 Ph: (210) 808-1111 | Dr Matthew T Moberg, DDS 1100 Wilford Hall Loop Bldg 4554, Jbsa - Lackland, TX 78236-5638 Ph: (210) 808-1111 |
Audrey Nicole Imperial, Dentist Medicare: Not Enrolled in Medicare Practice Location: 59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352, Jbsa - Lackland, TX 78236 Phone: 210-292-6258 |