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Individual
DR. ELIZABETH JOAN MUNCH
Active
Individual
DR. ELIZABETH JOAN MUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6608
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05844
BLUE CROSS BLUE SHIELD
NE
05
—
070128
—
IA
05
—
10025384100
—
NE
Enumeration date
10/30/2006
Last updated
07/08/2007
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