Individual
DR. EDWARD B. MURRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40 NORTHCREST DR, STE. 1, COUNCIL BLUFFS, IA 51503-1622
(712) 328-9605
(712) 328-9608
Mailing address
40 NORTHCREST DR, STE. 1, COUNCIL BLUFFS, IA 51503-1622
(712) 328-9605
(712) 328-9608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6032
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6032
STATE DENTAL LICENSE
IA
Enumeration date
10/24/2006
Last updated
07/08/2007
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