Individual
DR. JUAN MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
410 SECURITY BLVD, GREEN BAY, WI 54313-9705
(920) 662-1440
Mailing address
410 SECURITY BLVD, GREEN BAY, WI 54313-9705
(920) 662-1440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001621-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
07/15/2021
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