Provider Demographics
NPI:1235335670
Name:MURRAY, AARON LEVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:LEVI
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 S. PURCELL BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-5121
Mailing Address - Country:US
Mailing Address - Phone:719-547-8338
Mailing Address - Fax:719-547-8228
Practice Address - Street 1:141 S. PURCELL BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-5121
Practice Address - Country:US
Practice Address - Phone:719-547-8338
Practice Address - Fax:719-547-8228
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice