Organization
VITRUVIAN DENTAL CORPORATION
Active
Other names
Vitruvian Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG MOON D.D.S. (DENTIST)
(201) 527-7241
Entity
Organization
Contact information
Practice address
577 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-8409
(201) 746-6003
Mailing address
577 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-8409
(201) 746-6003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21228
NJ
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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