Provider Demographics
NPI:1215911474
Name:MUZIKAR, KARL JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:JOSEPH
Last Name:MUZIKAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 CANYON VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1872
Mailing Address - Country:US
Mailing Address - Phone:925-820-9016
Mailing Address - Fax:
Practice Address - Street 1:2701 CROW CANYON RD
Practice Address - Street 2:SUITE F
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1631
Practice Address - Country:US
Practice Address - Phone:925-820-6623
Practice Address - Fax:925-820-6625
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0327251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice