Doctor Name: | DR. CLAUDETTE UMURERWA MUNYABERA |
NPI Number: | 1093090318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | 12011737A |
Business Practice Address: | 2332 Miracle Ln Mishawaka, IN - 465453012 |
Business Phone Number: | 5742595437 |
Business Fax Number: | |
Mailing Address: | 201 W 8th St, Suite 810 PUEBLO |
State: | CO |
Postal Code: | 810033038 |
Phone Number: | 7195624447 |
Fax Number: | 7195831801 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 12011737A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |