Individual provider · Type 1 NPI
Luis Carlos Munguia, DENTIST
Dental Anesthesiology · San Luis, MX
Practice location
502 Avenida Kino 5 Y 6
San Luis, MX 83449
Mailing address
PO Box 624
San Luis, AZ 85349-0624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics | 1223E0200X | 1751642 (AZ) |
| Pediatric Dentistry | 1223P0221X | 1751642 (ZZ) |
| Pediatric Dentistry | 1223P0221X | 1751642 (AZ) |
| Periodontics | 1223P0300X | 1751642 (ZZ) |
| Prosthodontics | 1223P0700X | 1751642 (ZZ) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1751642 (ZZ) |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 1751642 (AZ) |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 1751642 (ZZ) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1751642 (ZZ) |
| Orofacial Pain Dentistry | 1223X2210X | 1751642 (AZ) |
| Dental Anesthesiology Primary | 1223D0004X | 1751642 (ZZ) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1740006899
Luis Carlos Munguia, DENTIST's National Provider Identifier is 1740006899, issued on Nov 22, 2024. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in San Luis, MX. The record was last updated on Nov 22, 2024.