Individual
ANGELINE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4300 THOUSAND OAKS DR, SAN ANTONIO, TX 78217-2152
(210) 922-7000
(210) 923-7929
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 923-7929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33103
TX
124Q00000X
Dental Hygienist
13794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883559
BCBS
TX
Enumeration date
09/26/2006
Last updated
11/07/2024
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