Stacy J. Moon DDS, PA
Stacy J. Moon DDS, PA is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6019 N Eagle RdBoise, ID 83713-0997
Phone: (208) 939-7053
Fax: (208) 938-6032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence D3387 (ID) |
|---|
Record details
| NPI number | 1851554737 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacy Moon — President · (208) 939-7053 |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | July 9, 2008 |
| Mailing address | 6019 N Eagle Rd, Boise, ID 83713-0997 |
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