person
Sophie Ju Hyung Moon
General Practice Dentistry in Chicago, Illinois
NPI 1457970147

Sophie Ju Hyung Moon is a General Practice Dentistry based in Fairfax, IL and is specialized in General Practice. Sophie Ju Hyung Moon practices in Chicago, IL. The NPI Number for Sophie Ju Hyung Moon is 1457970147 and holds a License No. (Illinois).

The current practice location address for Sophie Ju Hyung Moon is 801 S Paulina St Rm 131, Chicago, IL and can be reached out via phone at 312-996-7138.

Location: 801 S Paulina St Rm 131, Chicago, IL, 22032-3615
person
Provider Profile Details
NPI Number
1457970147
Provider Name
Sophie Ju Hyung Moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
801 S Paulina St Rm 131, Chicago, IL, 22032-3615
Phone Number
312-996-7138
Fax Number
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 S Paulina St Rm 131
City
State
Zip
60612-7210
Phone Number
312-996-7138
Fax Number
person
Provider Business Mailing Address Details
Address
801 S Paulina St Rm 131
City
State
Zip
60612-7210
Phone Number
312-996-7138
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019.032544 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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