MEDICARE: DR. DANIEL GEORGE MUNGER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	51623	CA

General Provider Information

NPI Number	:	1225048283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL GEORGE MUNGER D.D.S.

Provider Business Mailing Address
First Line	:	1215 PLUMAS ST
Second Line	:	SUITE 201
City	:	YUBA CITY
State	:	CA
Zip	:	95991-3455
Country	:	US
Telephone Number	:	530-671-2350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 PLUMAS ST
Second Line	:	SUITE 201
City	:	YUBA CITY
State	:	CA
Zip	:	95991-3455
Country	:	US
Telephone Number	:	530-671-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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