IndividualActive
Michele Moore
NPI 1114139961 · Dental Hygienist · Universal City, TX
Provider details
- NPI number
- 1114139961
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7775 (TX)
Specialties & taxonomies
Dental Providers
Practice location
1702 Pat Booker Rd
Universal City, TX 78148-3435
Phone: (210) 658-7511
Approximate (ZIP-level) locationGet directions
Mailing address
1702 Pat Booker Rd
Universal City, TX 78148-3435
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.