Organization
WILLIAM H MOON JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MOON DDS (OWNER)
(810) 744-2982
Entity
Organization
Contact information
Practice address
1481 SOUTH CENTER ROAD, BURTON, MI 48509
(810) 744-2982
Mailing address
1481 SOUTH CENTER ROAD, BURTON, MI 48509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11603
MI
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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