Provider Demographics
NPI:1023153665
Name:MUNIYAPPA, MANJULA (DDS)
Entity type:Individual
Prefix:DR
First Name:MANJULA
Middle Name:
Last Name:MUNIYAPPA
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 1:9888 CARMEL MOUNTAIN RD STE B
Mailing Address - Street 2:SUNSHINE DENTAL OFFICE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2807
Mailing Address - Country:US
Mailing Address - Phone:858-780-8870
Mailing Address - Fax:858-780-2528
Practice Address - Street 1:9888 CARMEL MOUNTAIN ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129
Practice Address - Country:US
Practice Address - Phone:858-780-8870
Practice Address - Fax:858-780-2528
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40862122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist