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1629189360
MICHAEL C MOON
WASHINGTON, IL
NPI
1629189360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-023704)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL C MOON DDS
1762 WASHINGTON RD
WASHINGTON, IL 61571-2278
Phone number: 309-444-3207
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Mailing Address
Dr. MICHAEL C MOON DDS
1762 WASHINGTON RD
WASHINGTON, IL 61571-2278
Phone number: 309-444-3207
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