Healthcare Provider Details

I. General information

NPI: 1922782440
Provider Name (Legal Business Name): VALERIA ESCAMILLA MUNOZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 128TH ST
URBANDALE IA
50323-1816
US

IV. Provider business mailing address

2401 128TH ST
URBANDALE IA
50323-1816
US

V. Phone/Fax

Practice location:
  • Phone: 515-800-4073
  • Fax:
Mailing address:
  • Phone: 515-800-4073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-10113
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: