Provider Demographics
NPI:1033358569
Name:MUNCE, CLIFFORD JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:JOHN
Last Name:MUNCE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1525 STATE ST
Mailing Address - Street 2:SUITE #201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2500
Mailing Address - Country:US
Mailing Address - Phone:805-962-0161
Mailing Address - Fax:805-962-0527
Practice Address - Street 1:1525 STATE ST
Practice Address - Street 2:SUITE #201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2500
Practice Address - Country:US
Practice Address - Phone:805-962-0161
Practice Address - Fax:805-962-0527
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279061223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics