Organization
SUE K MOON DDS PC
Active
Other names
Cornerstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE K MOON D.D.S. (DOCTOR)
(703) 771-3389
Entity
Organization
Contact information
Practice address
2 CARDINAL PARK DR SE STE 206A, LEESBURG, VA 20175-4401
(703) 771-3389
(703) 771-8242
Mailing address
2 CARDINAL PARK DR SE STE 206A, LEESBURG, VA 20175-4401
(703) 771-3389
(703) 771-8242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410385
VA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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