Provider Demographics
NPI:1083776538
Name:MUNOZ LATORRE, SONJA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:MUNOZ LATORRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:BOJKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2953 SW 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7352
Mailing Address - Country:US
Mailing Address - Phone:612-382-0875
Mailing Address - Fax:
Practice Address - Street 1:1261 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4003
Practice Address - Country:US
Practice Address - Phone:305-858-2545
Practice Address - Fax:305-858-9400
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND116721223G0001X
FLDN 178801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice