NPI | 1558943308 |
---|---|
Doing Business As | MOONLIGHT DENTISTRY |
Entity Type | Organization |
Authorized Contact | SORA MOON Dentist 310-425-4508 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-05-12 |