Individual
DR. ERIC DAVID MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14065 ESSEX AVE, APPLE VALLEY, MN 55124-6857
(952) 423-1909
Mailing address
120 HENNEPIN AVE APT 108, MINNEAPOLIS, MN 55401-1909
(701) 540-2833
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D14663
MN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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