Organization
NORIEGA DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS QUEZADA DDS (OWNER DENTIST)
(956) 438-2073
Entity
Organization
Contact information
Practice address
4315 MOONLIGHT WAY STE 101, SAN ANTONIO, TX 78230-1690
(210) 263-3838
Mailing address
4315 MOONLIGHT WAY STE 101, SAN ANTONIO, TX 78230-1690
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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