STACY J. MOON DDS, PA

Clinic/Center - Dental

Active Organization
NPI: 1851554737

Practice Address

6019 N EAGLE RD
Boise, ID 83713

Phone: (208) 939-7053

Specialties

Specialty Code Primary License
Clinic/Center - Dental 261QD0000X Yes D3387 (ID)

Frequently Asked Questions

NPI 1851554737 is the National Provider Identifier for STACY J. MOON DDS, PA, a Clinic/Center - Dental provider located in Boise, ID. This NPI was enumerated on July 9, 2008.

Quick Facts

NPI
1851554737
Type
Organization
Enumerated
Jul 9, 2008
Last Updated
Jul 9, 2008

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