| Moua Dental Pc | |
|
1770 Bluewater Ln Woodbury MN 55129-6236 | |
| (612) 810-0978 | |
| Not Available |
| Full Name | Moua Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1770 Bluewater Ln, Woodbury, Minnesota |
| Authorized Official Name and Position | Chia Moua (CEO) |
| Authorized Official Contact | 6128100978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moua Dental Pc 1770 Bluewater Ln Woodbury MN 55129-6236 Ph: () - | Moua Dental Pc 1770 Bluewater Ln Woodbury MN 55129-6236 Ph: (612) 810-0978 |
| NPI Number | 1215574017 |
|---|---|
| Provider Enumeration Date | 11/30/2019 |
| Last Update Date | 11/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215574017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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