Organization · Type 2 NPI

Beverly Moon DMD LLC

Dental Clinic/Center · Overland Park, KS

NPI number 1962037523 Active

Practice location

4601 W 109th St Ste 240
Overland Park, KS 66211-1323

Call (913) 338-3384 Map

Mailing address

16424 Lucille St
Overland Park, KS 66221-7032

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1962037523

Beverly Moon DMD LLC's National Provider Identifier is 1962037523, issued on Mar 4, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Overland Park, KS. The record was last updated on Mar 4, 2020.