Provider Demographics
NPI:1760785604
Name:MUFF & MUFF D.D.S., INC.
Entity Type:Organization
Organization Name:MUFF & MUFF D.D.S., INC.
Other - Org Name:WILLOW CREEK DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-891-6611
Mailing Address - Street 1:2765 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-1114
Mailing Address - Country:US
Mailing Address - Phone:530-891-6611
Mailing Address - Fax:530-891-6638
Practice Address - Street 1:2765 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-1114
Practice Address - Country:US
Practice Address - Phone:530-891-6611
Practice Address - Fax:530-891-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA592481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty