Individual provider · Type 1 NPI

Sophie Ju Hyung Moon

General Practice Dentistry · Chicago, IL

NPI number 1457970147 Active

Practice location

801 S Paulina St Rm 131
Chicago, IL 60612-7210

Call (312) 996-7138 Map

Mailing address

4529 Gilbertson Rd
Fairfax, VA 22032-3615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X019.032544 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1457970147

Sophie Ju Hyung Moon's National Provider Identifier is 1457970147, issued on Apr 13, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jun 23, 2022.