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NPI Code Detail

MEDICARE: DR. PATRICK MIGLIORE D.D.S.

MEDICARE:  DR. PATRICK  MIGLIORE  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry11515TX

General Provider Information

NPI Number : 1881755239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MIGLIORE D.D.S.
Provider Business Mailing Address
First Line : 1202 E SONTERRA BLVD
Second Line : STE 702
City : SAN ANTONIO
State : TX
Zip : 78258-4089
Country : US
Telephone Number : 210-340-0995
Fax Number : 210-340-1095
Provider Business Practice Location Address
First Line : 1202 E SONTERRA BLVD
Second Line : STE 702
City : SAN ANTONIO
State : TX
Zip : 78258-4089
Country : US
Telephone Number : 210-340-0995
Fax Number : 210-340-1095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICK MIGLIORE D.D.S.” Practice Location

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