Moon, Paul Randall

Moon, Paul Randall is an sole proprietor health care provider with primary practice located at 2060 Main St , Red Bluff CA 96080-2373. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moon, Paul Randall can be contacted via phone (530) 527-2147.

Contact Information

Primary practice address
2060 Main St Red Bluff CA 96080-2373
Fax: (530) 527-2410
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 25070 California

Profile Details

NPI number 1508956012
LBN Legal business name Moon, Paul Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Mar 11th, 2008 - 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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