DR. Richard T Moon, DDS
NPI #1639220833 in Peoria, Illinois
Provider Information
- NPI Number
- 1639220833
- Entity Type
- Individual
- Name
- DR. Richard T Moon, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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