Provider Demographics
NPI:1598929937
Name:MUNOZ, DENNISE MARITZA (DDS)
Entity Type:Individual
Prefix:
First Name:DENNISE
Middle Name:MARITZA
Last Name:MUNOZ
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 1:900 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1070
Mailing Address - Country:US
Mailing Address - Phone:914-476-5050
Mailing Address - Fax:914-476-1530
Practice Address - Street 1:900 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1070
Practice Address - Country:US
Practice Address - Phone:914-476-5050
Practice Address - Fax:914-476-1530
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist