DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LUIS CARLOS MUNGUIA, DENTIST

Active Sole Proprietor

1223D0004X · SAN LUIS, SONORA

Registration Details

NPI Number
1740006899
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2024 (1.4403542737877 yrs)
Last Updated
Nov 22, 2024
Licenses
1751642 (AZ)
1751642 (ZZ)
1751642 (AZ)
1751642 (ZZ)
1751642 (ZZ)
Sole Proprietor
Yes

Practice Information

Address
502 AVENIDA KINO 5 Y 6
SAN LUIS, SONORA, 83449
Browse SONORA providers · Browse ZIP 83449
Phone
6535345515
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Additional Specialty
Periodontology
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.