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NPI Code Detail

MEDICARE: DR. JENELLE MUNOZ DDS

MEDICARE:  DR. JENELLE  MUNOZ  DDS
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
1122300000XDentist110365CA

General Provider Information

NPI Number : 1689403586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENELLE MUNOZ DDS
Provider Business Mailing Address
First Line : 536 E ARRELLAGA ST STE 101
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-2262
Country : US
Telephone Number : 805-687-2400
Fax Number :
Provider Business Practice Location Address
First Line : 536 E ARRELLAGA ST STE 101
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-2262
Country : US
Telephone Number : 805-687-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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Directions to “ DR. JENELLE MUNOZ DDS” Practice Location

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