Perio Implant Moon Llc | |
160 Summit Ave Ste 206 Montvale NJ 07645-1763 | |
(551) 322-6385 | |
Not Available |
Full Name | Perio Implant Moon Llc |
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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 |
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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 |
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Provider Enumeration Date | 06/16/2025 |
Last Update Date | 06/25/2025 |
Identifier | Type | State | Issuer |
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1306732318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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