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General NPI Number Information
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NPI Number | 1891829206
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Entity Type | Individual
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Provider Name | ROBERT J MUNOZ DDS
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 909 W ROSEBURG AVE SUITE A
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City | MODESTO
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State | CA
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Zip | 95350-5028
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Country | US
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Telephone | 209-526-3815
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Fax | 209-579-9521
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Provider Business Mailing Address
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Address Line | 4325 JACINTHE CT
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City | MODESTO
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State | CA
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Zip | 95356-9775
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Country | US
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Telephone | 209-543-6990
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Fax | 209-579-9521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 20236
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License Number State | CA
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