Individual
DR. DAEUK MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8115 RIDGE AVE, PHILADELPHIA, PA 19128-2901
(215) 487-2347
(215) 487-1459
Mailing address
8115 RIDGE AVE, PHILADELPHIA, PA 19128-2901
(215) 487-2347
(215) 487-1459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037680
PA
Other
Enumeration date
10/21/2008
Last updated
02/27/2013
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