| Moon Dental Llc | |
|
334 S 8th St Quincy IL 62301-4106 | |
| (217) 222-4525 | |
| Not Available |
| Full Name | Moon Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 334 S 8th St, Quincy, Illinois |
| Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Dental Llc 334 S 8th St Quincy IL 62301-4106 Ph: () - | Moon Dental Llc 334 S 8th St Quincy IL 62301-4106 Ph: (217) 222-4525 |
| NPI Number | 1760190003 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760190003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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