Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 903333 | CO |
NPI | 1003096074 |
---|---|
Provider Name | Toni L Murray |
First Address | Durango, CO 81301 |
Second Address | Durango, CO 81301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2007 |
Last Update Date | 07/11/2007 |