Individual
JOON KI MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3633 W LAKE AVE, SUITE 101, GLENVIEW, IL 60026-5805
(847) 998-8754
Mailing address
3633 W LAKE AVE, SUITE 101, GLENVIEW, IL 60026-5805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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