Individual
DAVID MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
(217) 356-3335
Mailing address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
(217) 356-3335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036396
IL
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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