Individual
DR. CYNTHIA RAE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4140 THIELMAN LN, SUITE 302, SAINT CLOUD, MN 56301-7326
(320) 252-7752
(320) 252-2289
Mailing address
4140 THIELMAN LN, SUITE 302, SAINT CLOUD, MN 56301-7326
(320) 252-7752
(320) 252-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11444
MN
Other
Enumeration date
12/18/2006
Last updated
07/09/2007
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