Healthcare Provider Details

I. General information

NPI: 1073971461
Provider Name (Legal Business Name): DANIEL MUROLO M.S., D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 CHILDRESS DR
ANDERSON CA
96007-3563
US

IV. Provider business mailing address

2817 CHILDRESS DR
ANDERSON CA
96007-3563
US

V. Phone/Fax

Practice location:
  • Phone: 530-365-3351
  • Fax:
Mailing address:
  • Phone: 530-365-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number100886
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number100886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: