| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BORA MOON | 1346838869 | 2021-01-10 |
Bora Moon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346838869. Registration indicates Bora Moon is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Bora Moon DMD |
| Practice Office Address | 2376 BROADWAY NEW YORK, NY US |
| Practice Office Telephone | 2126863686 |
| Mailing Address | 1 EXECUTIVE DR APT 501 FORT LEE, NJ 070243342 US |
| Business Telephone | 2017368040 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 061568
NY |