Individual
DR. ANGELA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
367 WASHINGTON ST, BRIGHTON, MA 02135-2730
(617) 208-8002
Mailing address
1384 COMMONWEALTH AVE APT 27, BOSTON, MA 02134-3612
(248) 505-5290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856154
MA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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