Provider Demographics
NPI:1720403280
Name:MUNIR, JANICE DE VITO (DMD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:DE VITO
Last Name:MUNIR
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:DE VITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:925 H ST NW
Mailing Address - Street 2:APT 506
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:516-640-2888
Mailing Address - Fax:
Practice Address - Street 1:650 PENNSYLVANIA AVE SE STE 220
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4338
Practice Address - Country:US
Practice Address - Phone:202-849-3292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014143211223D0001X, 1223G0001X
MD178911223G0001X
DCDEN10020891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223D0001XDental ProvidersDentistDental Public Health