CHUATONG THAO

MAPLE GROVE, MN
NPI1609397116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MN  3526)
Enumeration Date2017-07-06
Last Update Date2017-07-06
Business Address
CHUATONG THAO OD
11651 FOUNTAINS DR STE A-104
MAPLE GROVE, MN 55369-7195
Phone number: 763-315-1149
Mailing Address
CHUATONG THAO OD
11900 NEVADA AVE N
CHAMPLIN, MN 55316-2217
Phone number: