Provider Demographics
NPI:1255518213
Name:MUNTEAN, SORIN N (DDS)
Entity type:Individual
Prefix:DR
First Name:SORIN
Middle Name:N
Last Name:MUNTEAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5715
Mailing Address - Country:US
Mailing Address - Phone:805-373-9475
Mailing Address - Fax:805-494-4829
Practice Address - Street 1:110 E THOUSAND OAKS BLVD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5715
Practice Address - Country:US
Practice Address - Phone:805-373-9475
Practice Address - Fax:805-494-4829
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA350061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice