IndividualActive
Dezerre Munoz, EFFA
NPI 1811515760 · Dental Assistant · Gresham, OR
Provider details
- NPI number
- 1811515760
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- EFFA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
600 Ne 8th St Ste 200
Gresham, OR 97030-7317
Phone: (503) 988-4900
Approximate (ZIP-level) locationGet directions
Mailing address
600 Ne 8th St Ste 200
Gresham, OR 97030-7317
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.