Organization · Type 2 NPI

Stacy J. Moon Dds, PA

Dental Clinic/Center · Boise, ID

NPI number 1851554737 Active

About NPI 1851554737

Stacy J. Moon Dds, PA's National Provider Identifier is 1851554737, issued on Jul 9, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2008.