Individual
SHINSIL MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2165 CUNNINGHAM DR, HAMPTON, VA 23666-2569
(757) 827-5665
(757) 827-0121
Mailing address
8924 RHYME CT, ANNANDALE, VA 22003-3923
(703) 477-0395
(870) 779-0512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3956
AR
1223G0001X
General Practice Dentistry
Primary
0401414692
VA
Other
Enumeration date
07/15/2013
Last updated
03/17/2018
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