Individual
DR. JAMES E MUNGCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3150 VISTA BLVD # 112B, SPARKS, NV 89436-6712
(775) 332-1750
Mailing address
3150 VISTA BLVD # 112B, SPARKS, NV 89436-6712
(775) 332-1750
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
36375
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
64020
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-340
NV
Other
Enumeration date
10/06/2014
Last updated
09/10/2020
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