Individual
MR. DONN HENRY MOON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11635 SOUTH ST, ARTESIA, CA 90701-6628
(310) 961-3537
Mailing address
16042 CLEARBROOK LN, CERRITOS, CA 90703-1962
(510) 676-5991
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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