Chia Wam Moua, DDS

General Practice Dentistry · Maplewood, MN

Individual Active NPI

NPI number 1104316801

Practice location

1670 Beam Ave Ste 204
Maplewood, MN 55109-1227
Phone
(651) 925-8416

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NPI record

NPI
1104316801
Entity type
Individual (Type 1)
Enumeration date
May 17, 2018
Last updated
May 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13994 MN

Mailing address

1770 Bluewater Ln
Woodbury, MN 55129-6236
Phone
(612) 810-0978

About Dr. Moua

Chia Wam Moua, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1670 Beam Ave Ste 204, Maplewood, MN 55109-1227. The NPI number 1104316801 was assigned on May 17, 2018 and the record was last updated on May 17, 2018.

Dr. Moua lists a license in the registry: #D13994 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chia Wam Moua, DDS?

The NPI number is 1104316801.

What is the phone number of Dr. Moua?

The phone number listed for the practice location is (651) 925-8416.

Where is Dr. Moua located?

1670 Beam Ave Ste 204, Maplewood, MN 55109-1227.

What is the taxonomy code for Dr. Moua?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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