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Daeuk Moon
NPI 1295987451 · on the registry since 2008 · sole proprietor
Practice
- Address
- 8115 Ridge Ave
Philadelphia, PA 19128 - Phone
- (215) 487-2347
- Fax
- (215) 487-1459
- Organisation at this address
- Smile Line Dental
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania