Provider Demographics
NPI:1659961399
Name:ZOHAIB MUNAF DMD MBS PLLC
Entity Type:Organization
Organization Name:ZOHAIB MUNAF DMD MBS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-875-9158
Mailing Address - Street 1:5504 FULTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-4244
Mailing Address - Country:US
Mailing Address - Phone:973-610-5812
Mailing Address - Fax:
Practice Address - Street 1:4514 OLD MONROE RD STE CD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5308
Practice Address - Country:US
Practice Address - Phone:704-313-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty