Provider Demographics
NPI:1760460547
Name:GATON-MUNOZ, MILAGROS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:J
Last Name:GATON-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 1:702 MCCORMICK DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4338
Mailing Address - Country:US
Mailing Address - Phone:201-207-8107
Mailing Address - Fax:201-865-1556
Practice Address - Street 1:2713 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3706
Practice Address - Country:US
Practice Address - Phone:201-865-1353
Practice Address - Fax:201-895-1556
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD201371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8069808Medicaid