DR. Michael Moon, DDS

NPI #1336871995 in Sulphur, Oklahoma

Provider Information

NPI Number: 1336871995
Entity Type: Individual
Name: DR. Michael Moon, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 30, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 2611 W BROADWAY AVE
City: Sulphur
State: Oklahoma
ZIP Code: 73086-6518
Phone: (580) 622-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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