Individual
DR. JUNGSOO MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 WINTHROP ST, WORCESTER, MA 01604-4435
(508) 755-2207
Mailing address
10 WINTHROP ST, WORCESTER, MA 01604-4435
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015188
GA
Other
Enumeration date
10/21/2008
Last updated
08/20/2017
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