Organization
STARMOON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAVIOLA SILVA (ADMINISTRATIVE ASSISTANT)
(562) 282-6928
Entity
Organization
Contact information
Practice address
8839 VALLEY BLVD, ROSEMEAD, CA 91770-1713
(626) 249-0218
(626) 249-0218
Mailing address
8839 VALLEY BLVD, ROSEMEAD, CA 91770-1713
(626) 249-0218
(626) 249-0218
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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