Moon, Sue K

Moon, Sue K is an individual health care provider with primary practice located at 2 Cardinal Park Dr Se Suite 206-A, Leesburg VA 20175-4448. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moon, Sue K can be contacted via phone (703) 771-1515.

Contact Information

Primary practice address
2 Cardinal Park Dr Se Suite 206-A Leesburg VA 20175-4448
Phone: (703) 771-1515
Fax: (703) 771-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410385 Virginia

Profile Details

NPI number 1164548806
LBN Legal business name Moon, Sue K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
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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