Provider Demographics
NPI:1538576384
Name:MURO DENTAL CORPORATION
Entity type:Organization
Organization Name:MURO DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MURO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-391-7600
Mailing Address - Street 1:80555 TANGELO CT
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-8494
Mailing Address - Country:US
Mailing Address - Phone:760-775-2831
Mailing Address - Fax:760-775-2831
Practice Address - Street 1:72855 FRED WARING DR STE C15
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9372
Practice Address - Country:US
Practice Address - Phone:760-393-6026
Practice Address - Fax:760-670-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty