Perio Implant Moon LLC
NPI #1306732318 in Montvale, New Jersey
Provider Information
- NPI Number
- 1306732318
- Entity Type
- Organization
- Organization Name
- Perio Implant Moon LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Jun 25, 2025
Practice Location
- Address
- 160 SUMMIT AVE STE 206
- City
- Montvale
- State
- New Jersey
- ZIP Code
- 07645-1763
- Phone
- (551) 322-6385
Authorized Official
- Name
- DR. LAURA MOON, DDS
- Title
- OWNER
- Phone
- (551) 322-6385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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