Individual
DR. BOZENA ZALESKA MUNGUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
225 N 1ST ST, LEESBURG, FL 34748-5150
(352) 314-7400
(352) 360-2389
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(352) 360-2389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010593000
—
FL
Enumeration date
06/08/2010
Last updated
04/30/2019
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