Provider Demographics
NPI:1609133891
Name:MORENO, FLOR ABRIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLOR
Middle Name:ABRIL
Last Name:MORENO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8839 BREEZEFIELD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5444
Mailing Address - Country:US
Mailing Address - Phone:915-920-7299
Mailing Address - Fax:
Practice Address - Street 1:1539 SW LOOP 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227
Practice Address - Country:US
Practice Address - Phone:210-675-8000
Practice Address - Fax:210-675-8001
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27546122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist