Individual
IVAN LOUIS MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
200 SUDDERTH DR STE C, RUIDOSO, NM 88345-5908
(575) 286-4321
Mailing address
2443 WYATT WAY, ALAMOGORDO, NM 88310-3706
(575) 286-4321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH5331
NM
Other
Enumeration date
12/22/2025
Last updated
07/10/2026
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