Moon, Robert

Moon, Robert is an sole proprietor health care provider with primary practice located at 309 E 2Nd Ave , Ellensburg WA 98926-3315. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moon, Robert can be contacted via phone (509) 750-5062.

Contact Information

Primary practice address
309 E 2Nd Ave Ellensburg WA 98926-3315
Phone: (509) 750-5062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60158372 Washington

Profile Details

NPI number 1144541418
LBN Legal business name Moon, Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2010
Last updated Jun 14th, 2013 - about 12 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.

Request for update

Popular Providers