Dr. Kerry Moon, D.d.s., Pllc

NPI #1013658681 in North Little Rock, Arkansas

Provider Information

NPI Number: 1013658681
Entity Type: Organization
Organization Name: Dr. Kerry Moon, D.d.s., Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 6, 2022
Last Updated: Apr 6, 2022

Practice Location

Address: 2501 CRESTWOOD RD STE 201
City: North Little Rock
State: Arkansas
ZIP Code: 72116-7616
Phone: (501) 758-5006

Authorized Official

Name: DR. KERY MOON, DDS
Title: OWNER DENTIST
Phone: (501) 281-5347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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