William H Moon JR. DDS

NPI 1043385701 - Dentist - 122300000X

NPI Details
NPI 1043385701
Gender Male
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1481 S CENTER RD
BURTON MI, 48509, US
Phone (810) 744-2982
Fax (810) 744-2983
Business Location
2547 S SHORE DR
FLUSHING MI, 48433, US
Phone (810) 733-0396
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901011603
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According to our database, William H Moon JR. DDS NPI is 1043385701, taxonomy code is 122300000X and license number is 2901011603, license state is located at Michigan. William H Moon JR. DDS physically located at 1481 S Center Rd, Burton MI, 48509. NPI Number William H Moon JR. DDS has the Individual type.

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1043385701 NPI number is provided on an as is basis without warranty of any kind. 1043385701 is maintained by the National Plan & Provider Enumeration System. The contents of William H Moon JR. DDS are for informational purposes only.