Provider Demographics
NPI:1033293303
Name:MURDOCH, KIMBERLY SUZANNE (DDS)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SUZANNE
Last Name:MURDOCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:SUZANNE
Other - Last Name:MURDOCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2718 E 57TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6605
Mailing Address - Country:US
Mailing Address - Phone:509-448-5888
Mailing Address - Fax:509-448-0710
Practice Address - Street 1:2718 E 57TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6605
Practice Address - Country:US
Practice Address - Phone:509-448-5888
Practice Address - Fax:509-448-0710
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD90421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice