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1487154092
SUNNY MOON
BLOOMINGTON, MN
NPI
1487154092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: MN DT98)
Enumeration Date
2018-02-20
Last Update Date
2020-02-13
Business Address
SUNNY MOON DT
10584 FRANCE AVE S
BLOOMINGTON, MN 55431-3538
Phone number: 952-666-6000
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Mailing Address
SUNNY MOON DT
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413-2164
Phone number:
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