MR. STACY MOON, DDS
Dentist
Active
Individual
NPI: 1881645166
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D3387 (ID) |
Frequently Asked Questions
NPI 1881645166 is the National Provider Identifier for MR. STACY MOON, DDS, a Dentist provider located in Boise, ID. This NPI was enumerated on May 12, 2006.
MR. STACY MOON, DDS practices at 4266 N EAGLE RD, Boise, ID 83713.
Quick Facts
- NPI
- 1881645166
- Type
- Individual
- Enumerated
- May 12, 2006
- Last Updated
- Jul 6, 2023
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