# HWI MOON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558776088
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS040106 | PA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 34932 | TX | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DE61286690 | WA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DS040106 | PA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD61279945 | WA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | S9191 | TX | — |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 06/28/2022