Individual
DR. J D MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2002 N FAIRMOUNT ST, DAVENPORT, IA 52804-2808
(563) 391-2212
(563) 391-1545
Mailing address
2002 N FAIRMOUNT ST, DAVENPORT, IA 52804-2808
(563) 391-2212
(563) 391-1545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07499
IA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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