Search › Washington › 1223X0400X
Eun Sang Moon, DDS
NPI 1801395538 · on the registry since 2018 · sole proprietor
Practice
- Address
- 17707 W Main St
Monroe, WA 98272 - Phone
- (602) 823-9003
- Fax
- (360) 282-3907
- Organisation at this address
- Sea Mar Community Health Centers
Sea Mar Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 305 W 12th Ave, Columbus, OH
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 1223G0001X
- Licence states on file
- OH, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-29
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 Washington