Provider Demographics
NPI:1528180155
Name:MUNOWITZ, MINDY (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:
Last Name:MUNOWITZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 CINCINNATI COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4180
Mailing Address - Country:US
Mailing Address - Phone:513-755-8000
Mailing Address - Fax:513-755-6740
Practice Address - Street 1:9393 CINCINNATI COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4180
Practice Address - Country:US
Practice Address - Phone:513-755-8000
Practice Address - Fax:513-755-6740
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-9106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist