Provider Demographics
NPI:1598102303
Name:MUZIO, JOHN J III (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:MUZIO
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 SOUTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1538
Mailing Address - Country:US
Mailing Address - Phone:510-785-7010
Mailing Address - Fax:510-783-4357
Practice Address - Street 1:771 SOUTHLAND DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1538
Practice Address - Country:US
Practice Address - Phone:510-785-7010
Practice Address - Fax:510-783-4357
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist