| NPI | 1306732318 |
|---|---|
| Doing Business As | MOON IMPLANTS & PERIO |
| Entity Type | Organization |
| Authorized Contact | LAURA MOON Owner 551-322-6385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-25 |