Provider Demographics
NPI:1508008640
Name:JIWANI, MUNIRA (DDS)
Entity type:Individual
Prefix:
First Name:MUNIRA
Middle Name:
Last Name:JIWANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 TAHOE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5370
Mailing Address - Country:US
Mailing Address - Phone:903-283-1996
Mailing Address - Fax:
Practice Address - Street 1:11601 LAKERIDGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-8234
Practice Address - Country:US
Practice Address - Phone:804-266-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413868122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist