Robert Carl Moen, D.D.S.
NPI #1285853242 in Park Ridge, Illinois
Provider Information
- NPI Number
- 1285853242
- Entity Type
- Individual
- Name
- Robert Carl Moen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2 W TALCOTT RD
- Address 2
- SUITE 15
- City
- Park Ridge
- State
- Illinois
- ZIP Code
- 60068-5556
- Phone
- (847) 825-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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