| Robert Moon Dmd Pllc | |
|
309 E 2nd Ave Ellensburg WA 98926-3315 | |
| (509) 962-6172 | |
| Not Available |
| Full Name | Robert Moon Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 309 E 2nd Ave, Ellensburg, Washington |
| Authorized Official Name and Position | Robert Moon (DENTIST) |
| Authorized Official Contact | 5097505062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Moon Dmd Pllc 309 E 2nd Ave Ellensburg WA 98926-3315 Ph: (509) 962-6172 | Robert Moon Dmd Pllc 309 E 2nd Ave Ellensburg WA 98926-3315 Ph: (509) 962-6172 |
| NPI Number | 1376883702 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60158372 (Washington) | Primary |
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