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1104316801
CHIA WAM MOUA
MAPLEWOOD, MN
NPI
1104316801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN d13994)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
Dr. CHIA WAM MOUA DDS
1670 BEAM AVE STE 204
MAPLEWOOD, MN 55109-1227
Phone number: 651-925-8416
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Mailing Address
Dr. CHIA WAM MOUA DDS
1770 BLUEWATER LN
WOODBURY, MN 55129-6236
Phone number: 612-810-0978
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