Moen, Robert Carl

Moen, Robert Carl is an sole proprietor health care provider with primary practice located at 2 W Talcott Rd Suite 15, Park Ridge IL 60068-5556. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moen, Robert Carl can be contacted via phone (847) 825-8500.

Contact Information

Primary practice address
2 W Talcott Rd Suite 15 Park Ridge IL 60068-5556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1285853242
LBN Legal business name Moen, Robert Carl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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