Provider Demographics
NPI:1285158832
Name:MURILLO, CHRISTIANE MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:MARIE
Last Name:MURILLO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 MILITARY TRL STE 219
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4813
Mailing Address - Country:US
Mailing Address - Phone:561-844-0715
Mailing Address - Fax:561-776-4878
Practice Address - Street 1:4600 MILITARY TRL STE 219
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4813
Practice Address - Country:US
Practice Address - Phone:561-844-0715
Practice Address - Fax:561-776-4878
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN231011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice