Whalio Doctors

NPI 1154558831

Beverly Moon, DMD

Practitioner General Practice Dentistry Shawnee, KS

Practice location

Address
5550 Hedge Lane Ter, Shawnee, KS 66226-2253
Phone
(913) 422-6699
Mailing address
1608 S Garfield St, Junction City, KS 66441-3966

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 60824 (KS)

Registry record

NPI
1154558831
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jun 2009
Record last updated
27 Feb 2013

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.