Organization
SCOTT MOON, DDS, INC
Active
Other names
New Millennium Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT D MOON DDS (PRESIDENT)
(213) 381-3900
Entity
Organization
Contact information
Practice address
2426 W 8TH ST STE 209, LOS ANGELES, CA 90057-3872
(213) 381-3900
Mailing address
2426 W 8TH ST STE 209, LOS ANGELES, CA 90057-3872
(213) 381-3900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
01/07/2021
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