| NPI | 1114453024 |
|---|---|
| Other Name | JUAN MUNOZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1001621-15) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-07-15 |