DR. Chia Wam Moua, DDS

NPI #1104316801 in Maplewood, Minnesota

Provider Information

NPI Number: 1104316801
Entity Type: Individual
Name: DR. Chia Wam Moua, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 17, 2018
Last Updated: May 17, 2018

Practice Location

Address: 1670 BEAM AVE STE 204
City: Maplewood
State: Minnesota
ZIP Code: 55109-1227
Phone: (651) 925-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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