Individual
DR. JOE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16424 LUCILLE ST, OVERLAND PARK, KS 66221-7032
(215) 432-2779
Mailing address
16424 LUCILLE ST, OVERLAND PARK, KS 66221-7032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60822
KS
Other
Enumeration date
08/28/2008
Last updated
11/25/2015
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