Provider Demographics
NPI:1447421748
Name:MUNOZ, DEBORAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 S RIVER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6916
Mailing Address - Country:US
Mailing Address - Phone:603-625-6456
Mailing Address - Fax:603-627-6556
Practice Address - Street 1:262 S RIVER RD STE 102
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6916
Practice Address - Country:US
Practice Address - Phone:603-625-6456
Practice Address - Fax:603-627-6556
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN219921122300000X
NH039971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist