Luna, Angeline

Luna, Angeline is an sole proprietor health care provider with primary practice located at 910 Wagner Ave , San Antonio TX 78211-3213. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is her primary health care specialty. Luna, Angeline can be contacted via phone (210) 922-7000.

Contact Information

Primary practice address
910 Wagner Ave San Antonio TX 78211-3213
Phone: (210) 922-7000
Fax: (210) 923-7929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 33103 Texas
Dental Providers / Dental Hygienist 124Q00000X 13794 Texas

Profile Details

NPI number 1295836591
LBN Legal business name Luna, Angeline
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295836591 NPPES
Texas Other 883559 BCBS

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