Individual
ROBERT MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2211 DOWNS AVE, WOODWARD, OK 73801-5309
(580) 256-8668
(580) 256-8670
Mailing address
2211 DOWNS AVE, WOODWARD, OK 73801-5309
(580) 256-8668
(580) 256-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7812
OK
Other
Enumeration date
06/21/2010
Last updated
12/05/2024
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