DR. Michael C Moon, DDS
NPI #1629189360 in Washington, Illinois
Provider Information
- NPI Number
- 1629189360
- Entity Type
- Individual
- Name
- DR. Michael C Moon, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1762 WASHINGTON RD
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-2278
- Phone
- (309) 444-3207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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