Individual
DR. ESTEPHAN J MOANA FILHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
515 DELAWARE ST SE, 6-440 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-0140
(612) 626-0138
Mailing address
515 DELAWARE ST SE, 6-320D MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-3130
(612) 626-0138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FF64
MN
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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