| Moonlight Dentistry | |
|
3480 Torrance Blvd Ste 221 Torrance CA 90503-5813 | |
| (310) 425-4508 | |
| Not Available |
| Full Name | Moonlight Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3480 Torrance Blvd Ste 221, Torrance, California |
| Authorized Official Name and Position | Sora Moon (DENTIST) |
| Authorized Official Contact | 3104254508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlight Dentistry 3480 Torrance Blvd Ste 221 Torrance CA 90503-5813 Ph: (310) 543-3505 | Moonlight Dentistry 3480 Torrance Blvd Ste 221 Torrance CA 90503-5813 Ph: (310) 425-4508 |
| NPI Number | 1558943308 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558943308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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