Dr. Juan Munoz, D.D.S
Dentist in Green Bay, WI. Individual provider (NPI-1).
NPI number1114453024
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1114453024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juan Munoz
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1001621-15 | WI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Juan Munoz (Other Name)
Practice location
410 Security BlvdGreen Bay, WI 54313-9705
Phone 920-662-1440
Mailing address
410 Security BlvdGreen Bay, WI 54313-9705
Phone 920-662-1440
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