# MOONA KHAN DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Sound Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487992772
- **Authorized official:** MOONA KHAN DDS (DDS/OWNER)
- **Authorized official phone:** (253) 473-4303

## Contact information

- **Practice address:** 2115 S 56TH ST, SUITE 202, TACOMA, WA 98409-6902
- **Practice address phone:** (253) 473-4303
- **Practice address fax:** (253) 473-0201
- **Mailing address:** 2115 S 56TH ST, SUITE 202, TACOMA, WA 98409-6902
- **Mailing address phone:** (253) 473-4303
- **Mailing address fax:** (253) 473-0201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00011022 | WA | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 01/22/2013