Individual
MYUNG SOOK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
12510 QUEENS BLVD STE 219, KEW GARDENS, NY 11415-1506
(718) 897-6453
Mailing address
12510 QUEENS BLVD STE 219, KEW GARDENS, NY 11415-1506
(718) 897-6453
(718) 268-0105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047747
NY
Other
Enumeration date
10/23/2006
Last updated
04/30/2013
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