Individual
HYUN KOOK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
423 E WARD ST, KENT, WA 98030-4537
(253) 656-3784
Mailing address
423 E WARD ST, KENT, WA 98030-4537
(253) 656-3784
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN61520268
WA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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