Healthcare Provider Details
I. General information
NPI: 1700716958
Provider Name (Legal Business Name): SORANA MUNTEANU DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
545 SARATOGA AVE STE E
SANTA CLARA CA
95050-5672
US
IV. Provider business mailing address
545 SARATOGA AVE STE E
SANTA CLARA CA
95050-5672
US
V. Phone/Fax
- Phone: 408-296-7617
- Fax:
- Phone: 408-296-7617
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SORANA
MUNTEANU
Title or Position: OWNER
Credential: DDS
Phone: 408-296-7617