SOPHIE JU HYUNG MOON

CHICAGO, IL
NPI1457970147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032544)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-13
Last Update Date2022-06-23
Business Address
SOPHIE JU HYUNG MOON
801 S PAULINA ST RM 131
CHICAGO, IL 60612-7210
Phone number: 312-996-7138
Mailing Address
SOPHIE JU HYUNG MOON
4529 GILBERTSON RD
FAIRFAX, VA 22032-3615
Phone number: 202-480-4420