Jungsoo Moon DDS

NPI 1669624888 - Dentist - 1223G0001X

NPI Details
NPI 1669624888
Gender Female
Enumeration Date 10/21/2008
Last Updated 10/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
100 GREYROCK PL
STAMFORD CT, 06901-3118, US
Phone (203) 348-0300
Fax
Business Location
44 STRAWBERRY HILL AVE
#7P
STAMFORD CT, 06902-2632, US
Phone (646) 271-5839
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 009870
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According to our database, Dr. Jungsoo Moon DDS NPI is 1669624888, taxonomy code is 1223G0001X and license number is 009870, license state is located at Connecticut. Jungsoo Moon DDS physically located at 100 Greyrock Pl, Stamford CT, 06901-3118. NPI Number Jungsoo Moon DDS has the Individual type.

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1669624888 NPI number is provided on an as is basis without warranty of any kind. 1669624888 is maintained by the National Plan & Provider Enumeration System. The contents of Jungsoo Moon DDS are for informational purposes only.