Provider Demographics
NPI:1598782948
Name:MUNZENMAIER & FRIEL D.M.D LLC
Entity Type:Organization
Organization Name:MUNZENMAIER & FRIEL D.M.D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-265-3139
Mailing Address - Street 1:51 S WHITTLESEY AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4101
Mailing Address - Country:US
Mailing Address - Phone:203-265-3139
Mailing Address - Fax:203-265-5133
Practice Address - Street 1:51 S WHITTLESEY AVE
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4101
Practice Address - Country:US
Practice Address - Phone:203-265-3139
Practice Address - Fax:203-265-5133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty