Sunny Moon, DT Valid NPI
Individual provider · Dental Therapist · Bloomington, MN
- NPI
- 1487154092
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- DT98 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-20
- Last updated
- 2020-02-13
Practice location
10584 France Ave S
Bloomington, MN 55431-3538
(952) 666-6000