MEDICARE: DR. J. GEOFFREY MURRAY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22097	CA

General Provider Information

NPI Number	:	1679805485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. J. GEOFFREY MURRAY DDS

Provider Business Mailing Address
First Line	:	1333 CAMINO DEL MAR
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-2507
Country	:	US
Telephone Number	:	858-755-1197
Fax Number	:	858-755-4233

Provider Business Practice Location Address
First Line	:	1333 CAMINO DEL MAR
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-2507
Country	:	US
Telephone Number	:	858-755-1197
Fax Number	:	858-755-4233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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