Individual
DR. JOHN MOYER POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4716 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 572-9762
(763) 572-2127
Mailing address
4716 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-1944
(763) 572-9762
(763) 572-2127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9304
MN
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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