Moua Dental PC

NPI #1215574017 in Woodbury, Minnesota

Provider Information

NPI Number: 1215574017
Entity Type: Organization
Organization Name: Moua Dental PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 30, 2019
Last Updated: Nov 30, 2019

Practice Location

Address: 1770 BLUEWATER LN
City: Woodbury
State: Minnesota
ZIP Code: 55129-6236
Phone: (612) 810-0978

Authorized Official

Name: CHIA MOUA, DDS
Title: CEO
Phone: (612) 810-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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