Provider Demographics
NPI:1669564506
Name:MUNTEANU, SORANA MARIA (DMD)
Entity type:Individual
Prefix:DR
First Name:SORANA
Middle Name:MARIA
Last Name:MUNTEANU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 SARATOGA AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5672
Mailing Address - Country:US
Mailing Address - Phone:408-296-7617
Mailing Address - Fax:408-296-6285
Practice Address - Street 1:545 SARATOGA AVE STE E
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5672
Practice Address - Country:US
Practice Address - Phone:408-296-7617
Practice Address - Fax:408-296-6285
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39549122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist