MICKEY C MOUA

SONORA, CA
NPI1841419116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  58752)
Enumeration Date2007-04-25
Last Update Date2011-03-28
Business Address
Dr. MICKEY C MOUA DDS
13975 MONO WAY STE I
SONORA, CA 95370-2824
Phone number: 209-533-9603
Mailing Address
Dr. MICKEY C MOUA DDS
PO BOX 939
ANGELS CAMP, CA 95222-0939
Phone number: 209-754-6240