Moon, Myung Sook

Moon, Myung Sook is an individual health care provider with primary practice located at 12510 Queens Blvd Ste 219 , Kew Gardens NY 11415-1506. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Moon, Myung Sook can be contacted via phone (718) 897-6453.

Contact Information

Primary practice address
12510 Queens Blvd Ste 219 Kew Gardens NY 11415-1506
Phone: (718) 897-6453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 047747 New York

Profile Details

NPI number 1528141918
LBN Legal business name Moon, Myung Sook
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 30th, 2013 - about 13 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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