Pamela D Moon Valid NPI
Individual provider · Dental Therapist · Richfield, MN
- NPI
- 1972991552
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- DT16 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-01-05
- Last updated
- 2015-01-05
Practice location
6600 Lyndale Ave S, 132
Richfield, MN 55423-3380
(612) 243-8999