Healthcare Provider Details

I. General information

NPI: 1861033326
Provider Name (Legal Business Name): CINTIA CARINA MUJICA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6357 N HAMILTON RD UNIT C
WESTERVILLE OH
43081-1590
US

IV. Provider business mailing address

6357 N HAMILTON RD UNIT C
WESTERVILLE OH
43081-1590
US

V. Phone/Fax

Practice location:
  • Phone: 614-568-3909
  • Fax:
Mailing address:
  • Phone: 614-568-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30025996
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: