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Licensing details for: 1171

Name: MUNOZ, NUMA FERNANDO

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Address of Record

7835 Lakeside Blvd Apt 946
BOCA RATON FL 33434-6265
PALM BEACH county
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Issuance Date

November 16, 1999

Expiration Date

August 31, 2015

Current Date / Time

December 14, 2025
12:5:22 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: MUNOZ, NUMA FERNANDO

License/Registration Type: Dentist License

License Number: 46894 Primary Status: Cancelled

Address :
7835 Lakeside Blvd Apt 946
BOCA RATON FL 33434-6265
PALM BEACH COUNTY

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