Jimmy Joe Moon, DDS & Barbara Seid Moon, DDS, INC.
Clinic/Center, Dental in Pasadena, TX. Organization (NPI-2).
NPI number1902011307
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1902011307
- Entity type
- Organization (NPI-2)
- Legal business name
- Jimmy Joe Moon, DDS & Barbara Seid Moon, DDS, INC.
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 13206 | TX | Yes |
| 261QD0000X | Clinic/Center, Dental | 13002 | TX |
Practice location
2009 John StPasadena, TX 77502-3375
Phone 713-473-6677 · Fax 713-473-6778
Mailing address
2009 John StPasadena, TX 77502-3375
Phone 713-473-6677 · Fax 713-473-6778
Authorized official
Jimmy Joe Moon
President
7134736677
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