Search › Georgia › 363A00000X
Deidra Munsanto, PA-C
NPI 1235432170 · on the registry since 2010
Practice
- Address
- 12201 Highway 92 Ste D
Woodstock, GA 30188 - Phone
- (770) 517-4621
- Organisation at this address
- Nuch Of Georgia Llc
Heartland Dental Care Of Georgia, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1601 Sw 89th St Ste E200, Oklahoma City, OK
- 1601 Sw 89th St Ste E200, Oklahoma City, OK
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OK, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia