Individual provider · Type 1 NPI

Mark Moan, DMD

General Practice Dentistry · O Fallon, MO

NPI number 1992716252 Active

About NPI 1992716252

Mark Moan, DMD's National Provider Identifier is 1992716252, issued on Aug 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in O Fallon, MO. The record was last updated on Jul 8, 2007.