Jimmy Joe Moon, Dds & Barbara Seid Moon, Dds, Inc. | |
2009 John St Pasadena TX 77502-3375 | |
(713) 473-6677 | |
(713) 473-6778 |
Full Name | Jimmy Joe Moon, Dds & Barbara Seid Moon, Dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 2009 John St, Pasadena, Texas |
Authorized Official Name and Position | Jimmy Joe Moon (PRESIDENT) |
Authorized Official Contact | 7134736677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jimmy Joe Moon, Dds & Barbara Seid Moon, Dds, Inc. 2009 John St Pasadena TX 77502-3375 Ph: (713) 473-6677 | Jimmy Joe Moon, Dds & Barbara Seid Moon, Dds, Inc. 2009 John St Pasadena TX 77502-3375 Ph: (713) 473-6677 |
NPI Number | 1902011307 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902011307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 13002 (Texas) | Secondary |
261QD0000X | Clinic/center - Dental | 13206 (Texas) | Primary |
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