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Organization
FIVE HILLS DENTAL ASSOCIATES
Active
Organization
FIVE HILLS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAY MOSS DDS (PRESIDENT)
(254) 542-5750
Entity
Organization
Contact information
Practice address
1005 W HWY 190, COPPERAS COVE, TX 76522
(254) 542-5750
(254) 542-4832
Mailing address
1005 W HWY 190, COPPERAS COVE, TX 76522
(254) 542-5750
(254) 542-4832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15649
TX
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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