BEVERLY MOON

SHAWNEE, KS
NPI1154558831
Former NameBEVERLY MOULIC
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  60824)
Enumeration Date2009-06-19
Last Update Date2013-02-27
Business Address
-- BEVERLY MOON DMD
5550 HEDGE LANE TER
SHAWNEE, KS 66226-2253
Phone number: 913-422-6699
Mailing Address
-- BEVERLY MOON DMD
1608 S GARFIELD ST
JUNCTION CITY, KS 66441-3966
Phone number: 732-754-1998