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Chan Young Moon — NPI 1326733379, Seocho-Gu | NPI Central

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NPI 1326733379

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Chan Young Moon

NPI 1326733379 · Orofacial Pain Dentistry · Seocho-Gu

Provider details

NPI number: 1326733379
Entity type: Individual
Primary specialty: Orofacial Pain DentistryDental Providers
Sex: Male
Sole proprietor: No
License: 0401418565 (VA)

Specialties & taxonomies

Orofacial Pain DentistryPrimary1223X2210XLicense 0401418565 (VA)
Dental Providers
General Practice Dentistry1223G0001XLicense 0401418565 (VA)
Dental Providers

Practice location

13 Seochodaero

B1 101 Ho, Moon'S Dental Clinic

Seocho-Gu, 06569

Mailing address

13 Seochodaero

Seocho-Gu, SEOUL 06569

Additional practice locations (2)

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
3801 Fairfax Dr Ste 24
Arlington, VA 22203-1762
Phone: (703) 988-7278

Registry dates

Enumerated: 2023-04-06
Last updated: 2026-04-15
Certified: 2026-04-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.