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Organization
SUN MOON & STARS MEDICAL CORPORATION
Active
Organization
SUN MOON & STARS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUN MOON LEE MD (MEDICAL DIRECTOR)
(805) 330-0706
Entity
Organization
Contact information
Practice address
1363 DONLON ST STE 13, VENTURA, CA 93003-5638
(805) 330-0706
Mailing address
1363 DONLON ST STE 13, VENTURA, CA 93003-5638
(805) 330-0706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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