Individual
DR. MIGUEL MUNILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0179
(712) 213-0186
Mailing address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0179
(712) 213-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08669
IA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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