NPI 1083431050

Hyun Kook Moon, LD

Practitioner Denturist Kent, WA

Practice location

Address: 423 E Ward St, Kent, WA 98030-4537
Phone: (253) 656-3784

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN61520268 (WA)

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Registry record

NPI: 1083431050
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2024
Record last updated: 23 Sep 2024

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.