Provider Demographics
NPI:1205052412
Name:JOHN J. MUZIO, III, D.D.S.
Entity type:Organization
Organization Name:JOHN J. MUZIO, III, D.D.S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MUZIO
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-785-7010
Mailing Address - Street 1:771 SOUTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1538
Mailing Address - Country:US
Mailing Address - Phone:510-785-7010
Mailing Address - Fax:510-783-4357
Practice Address - Street 1:771 SOUTHLAND DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1538
Practice Address - Country:US
Practice Address - Phone:510-785-7010
Practice Address - Fax:510-783-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA244881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty