Individual
ERIC MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
536 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440-5748
(630) 759-1221
Mailing address
536 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440-5748
(630) 759-1221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030780
IL
Other
Enumeration date
08/23/2016
Last updated
09/03/2024
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