Moon, Taehyung

Moon, Taehyung is an individual health care provider with primary practice located at 1363 W Lane Rd , Machesney Park IL 61115-1621. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moon, Taehyung can be contacted via phone (815) 637-2800.

Contact Information

Primary practice address
1363 W Lane Rd Machesney Park IL 61115-1621
Phone: (815) 637-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.028765 Illinois

Profile Details

NPI number 1083902308
LBN Legal business name Moon, Taehyung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Jul 20th, 2011 - about 15 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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