NPI 1043385701

William H Moon, DDS

Practitioner Dentist Burton, MI

Practice location

Address: 1481 S Center Rd, Burton, MI 48509
Phone: (810) 744-2982
Fax: (810) 744-2983
Mailing address: 2547 S Shore Dr, Flushing, MI 48433

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2901011603 (MI)

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Registry record

NPI: 1043385701
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.