Individual
PATRICK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21970 BULVERDE RD STE 100, SAN ANTONIO, TX 78259-2179
(210) 496-7846
(210) 497-7407
Mailing address
21970 BULVERDE RD STE 100, SAN ANTONIO, TX 78259-2179
(210) 496-7846
(210) 497-7407
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12471
TX
Other
Enumeration date
12/11/2006
Last updated
03/09/2009
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