| Sun Moon & Stars Medical Corporation | |
|
1363 Donlon St Ste 13 Ventura CA 93003-5638 | |
| (805) 330-0706 | |
| Not Available |
| Full Name | Sun Moon & Stars Medical Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1363 Donlon St Ste 13, Ventura, California |
| Authorized Official Name and Position | Sun Moon Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8053300706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Moon & Stars Medical Corporation 1363 Donlon St Ste 13 Ventura CA 93003-5638 Ph: (805) 330-0706 | Sun Moon & Stars Medical Corporation 1363 Donlon St Ste 13 Ventura CA 93003-5638 Ph: (805) 330-0706 |
| NPI Number | 1104579291 |
|---|---|
| Provider Enumeration Date | 01/30/2022 |
| Last Update Date | 01/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104579291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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