MEDICARE: DR. SORANA MARIA MUNTEANU DMD

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	39549	CA

General Provider Information

NPI Number	:	1669564506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SORANA MARIA MUNTEANU DMD

Provider Business Mailing Address
First Line	:	545 SARATOGA AVE STE E
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5672
Country	:	US
Telephone Number	:	408-296-7617
Fax Number	:	408-296-6285

Provider Business Practice Location Address
First Line	:	545 SARATOGA AVE STE E
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5672
Country	:	US
Telephone Number	:	408-296-7617
Fax Number	:	408-296-6285

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

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