Individual
ALFONSO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 W FOOTHILL BLVD STE C-2A, MONROVIA, CA 91016-2171
(626) 385-4936
Mailing address
15090 LIME ST, HESPERIA, CA 92345-3816
(760) 985-0660
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
94645
CA
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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