Provider Demographics
NPI:1659004141
Name:MUNOZ, ANGIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGIE
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 1:13499 BISCAYNE BLVD APT 502
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2026
Mailing Address - Country:US
Mailing Address - Phone:786-440-9672
Mailing Address - Fax:
Practice Address - Street 1:1938 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-3240
Practice Address - Country:US
Practice Address - Phone:786-440-9672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist