| Perio Implant Moon Llc | |
|
160 Summit Ave Ste 206 Montvale NJ 07645-1763 | |
| (551) 322-6385 | |
| Not Available |
| Full Name | Perio Implant Moon Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 160 Summit Ave Ste 206, Montvale, New Jersey |
| Authorized Official Name and Position | Laura Moon (OWNER) |
| Authorized Official Contact | 5513226385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perio Implant Moon Llc 160 Summit Ave Ste 206 Montvale NJ 07645-1763 Ph: () - | Perio Implant Moon Llc 160 Summit Ave Ste 206 Montvale NJ 07645-1763 Ph: (551) 322-6385 |
| NPI Number | 1306732318 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306732318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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