Beverly Moon, DMD

NPI #1154558831 in Shawnee, Kansas

Provider Information

NPI Number
1154558831
Entity Type
Individual
Name
Beverly Moon, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 19, 2009
Last Updated
Feb 27, 2013

Practice Location

Address
5550 HEDGE LANE TER
State
Kansas
ZIP Code
66226-2253
Phone
(913) 422-6699

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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