| Moya Family Dentistry | |
|
3630 Se Military Dr 114 San Antonio TX 78223 | |
| (210) 337-6834 | |
| (210) 337-6551 |
| Full Name | Moya Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3630 Se Military Dr, San Antonio, Texas |
| Authorized Official Name and Position | Leonardo Moya (PRESIDENT) |
| Authorized Official Contact | 2103376834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moya Family Dentistry 3630 Se Military Dr 114 San Antonio TX 78223 Ph: (210) 337-6834 | Moya Family Dentistry 3630 Se Military Dr 114 San Antonio TX 78223 Ph: (210) 337-6834 |
| NPI Number | 1477740611 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477740611 | NPI | - | NPPES |
| 188970101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20527 (Texas) | Primary |
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