STACY J. MOON DDS, PA is a dental clinic center in Boise, ID. STACY J. MOON DDS, PA NPI is 1851554737. The provider is registered as an organization entity type.
The provider's business location address is:
6019 N EAGLE RD
BOISE, ID
ZIP 83713-997
Phone: (208) 939-7053
Fax: (208) 938-6032
The provider's authorized official is Stacy Jerald Moon .
The authorized official title is President and has the following contact phone number (208) 939-7053.
The enumeration date for this NPI number is 7/9/2008 and was last updated on 7/9/2008.