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Organization
ELLEN SORA MOON, DMD, INC.
Active
Organization
ELLEN SORA MOON, DMD, INC.
Active
Other names
Moonlight Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SORA MOON DMD (DENTIST)
(310) 425-4508
Entity
Organization
Contact information
Practice address
3480 TORRANCE BLVD STE 221, TORRANCE, CA 90503-5813
(310) 425-4508
Mailing address
3480 TORRANCE BLVD STE 221, TORRANCE, CA 90503-5813
(310) 543-3505
(855) 767-0741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
05/12/2021
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