Organization
QC FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J D MOON DDS (PRESIDENT/OWNER)
(563) 391-2212
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
02/13/2017
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