Organization
CARILLION HILLS DENTAL INC
Active
Other names
Cosmetic Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ARTHUR MOORE JR. DDS (DENTIST)
(210) 696-1220
Entity
Organization
Contact information
Practice address
5837 BABCOCK RD, SAN ANTONIO, TX 78240-2135
(210) 696-1220
(210) 696-6861
Mailing address
5837 BABCOCK RD, SAN ANTONIO, TX 78240-2135
(210) 696-1220
(210) 696-6861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D12868
BCBS
TX
Enumeration date
03/15/2007
Last updated
07/09/2008
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