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Stacy Moon, DDS
NPI 1881645166 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4266 N Eagle Rd
Boise, ID 83713 - Phone
- (208) 939-7053
- Fax
- (208) 938-6032
- Organisation at this address
- Zachary Taylor Dds Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-06
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 Idaho