Individual
JOSEPH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17026 BULVERDE RD STE 102, SAN ANTONIO, TX 78247-4700
(210) 972-6356
Mailing address
19035 TALAVERA RDG APT 1101, SAN ANTONIO, TX 78257-1382
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41935
TX
Other
Enumeration date
08/01/2022
Last updated
09/15/2025
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