MEDICARE: DR. IAN RICHARD MURRAY D.M.D.

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	62404	CA

General Provider Information

NPI Number	:	1881032175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN RICHARD MURRAY D.M.D.

Provider Business Mailing Address
First Line	:	12846 BRIARCREST PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-5749
Country	:	US
Telephone Number	:	619-708-1439
Fax Number	:	619-708-1439

Provider Business Practice Location Address
First Line	:	6902 NAVAJO RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1563
Country	:	US
Telephone Number	:	619-582-9700
Fax Number	:

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

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	03/07/2024

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