Sunny Moon, DT
NPI #1487154092 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1487154092
- Entity Type
- Individual
- Name
- Sunny Moon, DT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Therapist
- Credential
- DT
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Feb 13, 2020
Practice Location
- Address
- 10584 FRANCE AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-3538
- Phone
- (952) 666-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Therapist |
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