Individual
DR. ANGELA SANTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D,S.
Contact information
Practice address
1516 MICHAEL DR, BEDFORD, TX 76022-7248
(281) 851-5374
Mailing address
1516 MICHAEL DR, BEDFORD, TX 76022-7248
(281) 851-5374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25206
TX
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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