Provider Demographics
NPI:1750947792
Name:EDUARD MUNAROV DDS PC
Entity type:Organization
Organization Name:EDUARD MUNAROV DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAROV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-420-7570
Mailing Address - Street 1:10542 65TH RD UPPR LEVEL
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1841
Mailing Address - Country:US
Mailing Address - Phone:646-420-7570
Mailing Address - Fax:
Practice Address - Street 1:449 N STATE RD STE 102
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1478
Practice Address - Country:US
Practice Address - Phone:646-420-7570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty