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Organization

MOYA FAMILY DENTISTRY INC

Active
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Organization

MOYA FAMILY DENTISTRY INC

Active
Other names
Moya Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARDO MOYA II D.D.S. (PRESIDENT)
(210) 337-6834
Entity
Organization

Contact information

Practice address
3630 SE MILITARY DR, 114, SAN ANTONIO, TX 78223
(210) 337-6834
(210) 337-6551
Mailing address
3630 SE MILITARY DR, 114, SAN ANTONIO, TX 78223
(210) 337-6834
(210) 337-6551

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20527
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188970101
—
TX
Enumeration date
10/02/2007
Last updated
07/22/2016
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