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Organization
JI MIN MOON DDS INC
Active
Organization
JI MIN MOON DDS INC
Active
Other names
Moonlight Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JI MIN MOON DDS (PRESIDENT)
(951) 215-5918
Entity
Organization
Contact information
Practice address
6000 CAMINO REAL, JURUPA VALLEY, CA 92509-5310
(951) 360-0000
Mailing address
6000 CAMINO REAL, JURUPA VALLEY, CA 92509-5310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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