| Scott Moon, Dds, Inc | |
|
2426 W 8th St Ste 209 Los Angeles CA 90057-3872 | |
| (213) 381-3900 | |
| Not Available |
| Full Name | Scott Moon, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2426 W 8th St Ste 209, Los Angeles, California |
| Authorized Official Name and Position | Scott D Moon (PRESIDENT) |
| Authorized Official Contact | 2133813900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Moon, Dds, Inc 2426 W 8th St Ste 209 Los Angeles CA 90057-3872 Ph: (213) 381-3900 | Scott Moon, Dds, Inc 2426 W 8th St Ste 209 Los Angeles CA 90057-3872 Ph: (213) 381-3900 |
| NPI Number | 1235697087 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235697087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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