Provider Demographics
NPI:1013160076
Name:MUNOZ, ESMERALDA (DDS)
Entity Type:Individual
Prefix:MISS
First Name:ESMERALDA
Middle Name:
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 1:85 VIA ROBLES
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6113
Mailing Address - Country:US
Mailing Address - Phone:831-372-7548
Mailing Address - Fax:831-372-8908
Practice Address - Street 1:85 VIA ROBLES
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6113
Practice Address - Country:US
Practice Address - Phone:831-372-7548
Practice Address - Fax:831-372-8908
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57710122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist