MEDICARE: DR. EMILIO MURO 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	1223G0001X	General Practice Dentistry	56232	CA

General Provider Information

NPI Number	:	1952594103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILIO MURO D.D.S.

Provider Business Mailing Address
First Line	:	72855 FRED WARING DR
Second Line	:	SUITE C17
City	:	PALM DESERT
State	:	CA
Zip	:	92260-9368
Country	:	US
Telephone Number	:	760-561-5459
Fax Number	:	760-670-3292

Provider Business Practice Location Address
First Line	:	72855 FRED WARING DR STE C17
Second Line	:	SUITE C17
City	:	PALM DESERT
State	:	CA
Zip	:	92260-9372
Country	:	US
Telephone Number	:	760-561-5459
Fax Number	:	760-670-3292

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

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	04/08/2016

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