Organization
PERIO IMPLANT MOON LLC
Active
Other names
Moon Implants & Perio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MOON DDS (OWNER)
(551) 322-6385
Entity
Organization
Contact information
Practice address
160 SUMMIT AVE STE 206, MONTVALE, NJ 07645-1763
(551) 322-6385
Mailing address
160 SUMMIT AVE STE 206, MONTVALE, NJ 07645-1763
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/25/2025
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