Holly Moon in Inglewood - Orthodontics And Dentofacial Orthopedics
Holly Moon - NPI 1780895904
Holly Moon is a Orthodontics And Dentofacial Orthopedics in Inglewood, California. Holly Moon practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Holly Moon is 1780895904. The last update date is 2022-08-11.
Holly Moon's current location address is 300 E Buckthorn St, Inglewood, California. You can contact this provider via phone number 3105646559. The mailing address for Holly Moon is 300 E Buckthorn St, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Moon |
|---|---|
| Address | 300 E Buckthorn St, Inglewood, California |
| Phone Number | 3105646559 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1780895904 |
|---|---|
| Provider Enumeration Date | 2007-05-28 |
| Last Updated Date | 2022-08-11 |
Provider Mailing Address Detail
| Address | 300 E Buckthorn St |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903013418 |
| Phone Number | 3105646559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 40685 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Holly Moon by the Centers for Medicare & Medicaid Services?
The Holly Moon has been issued the NPI (National Provider Identifier) 1780895904. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Holly Moon is physically located?
The Holly Moon is situated at the following address: 300 E Buckthorn St, Inglewood, CA 903013418.
What is Holly Moon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holly Moon is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Holly Moon receive the assignment of its 1780895904 from the Centers for Medicare & Medicaid Services?
The Holly Moon was issued its 1780895904 by the Centers for Medicare & Medicaid Services on 2007-05-28.
When was the information pertaining to Holly Moon most recently updated or revised?
The details related to Holly Moon, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-11.
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