Individual provider · Type 1 NPI

Eun Sang Moon, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Monroe, WA

NPI number 1801395538 Active

Practice location

17707 W Main St
Monroe, WA 98272-1967

Fax (360) 282-3907

Mailing address

85-60HO, Sangbong-Dong
Seoul, JUNGRANG-GU 02152

Other practice locations

  • 305 W 12th Ave, Columbus, OH 43210 · (614) 701-8648

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30.024728 (OH)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE61330238 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1801395538

Eun Sang Moon, DDS's National Provider Identifier is 1801395538, issued on Feb 8, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Monroe, WA. The record was last updated on Aug 29, 2024.