Individual
DR. MAISEE MOUA-MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4872
Mailing address
4497 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127-3626
(651) 894-4202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14178
MN
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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