Search › Wisconsin › 122300000X
Jacklyn Moon, DDS
NPI 1811622350 · on the registry since 2022
Practice
- Address
- 205 E Wisconsin Ave
Milwaukee, WI 53202 - Phone
- (414) 778-3600
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-19
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 Wisconsin