Moan, Mark

Moan, Mark is an individual health care provider with primary practice located at 1032 Rondale Ct , O Fallon MO 63368-7368. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moan, Mark can be contacted via phone (636) 949-2587.

Contact Information

Primary practice address
1032 Rondale Ct O Fallon MO 63368-7368
Phone: (636) 949-2587
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2000161564 Missouri

Profile Details

NPI number 1992716252
LBN Legal business name Moan, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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