DR. Matthew James Moen, DDS

NPI #1952143109 in Hugo, Minnesota

Provider Information

NPI Number: 1952143109
Entity Type: Individual
Name: DR. Matthew James Moen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 14741 VICTOR HUGO BLVD N
City: Hugo
State: Minnesota
ZIP Code: 55038-4561
Phone: (651) 407-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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