Provider Demographics
NPI:1053208108
Name:MUNOZ DENTAL LLC
Entity type:Organization
Organization Name:MUNOZ DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-440-9672
Mailing Address - Street 1:2321 LAGUNA CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1070
Mailing Address - Country:US
Mailing Address - Phone:754-228-0068
Mailing Address - Fax:
Practice Address - Street 1:790 E BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2095
Practice Address - Country:US
Practice Address - Phone:754-228-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNOZ DENTAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-20
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental