Individual
KYUNGSIK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22301 ROCKSIDE RD, BEDFORD, OH 44146-1509
(440) 232-4222
(440) 374-5279
Mailing address
22301 ROCKSIDE RD, BEDFORD, OH 44146-1509
(440) 232-4222
(440) 374-5279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-024506
OH
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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