Provider Demographics
NPI:1902631575
Name:MUNAF GASTONIA DMD PLLC
Entity type:Organization
Organization Name:MUNAF GASTONIA DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOHAIB
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-597-5944
Mailing Address - Street 1:4514 OLD MONROE RD STE C
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-5308
Mailing Address - Country:US
Mailing Address - Phone:704-313-4000
Mailing Address - Fax:
Practice Address - Street 1:2641 COURT DR STE A
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-1478
Practice Address - Country:US
Practice Address - Phone:704-313-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty