Provider Demographics
NPI:1265657266
Name:MURDOCH, WILLIAM BL (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BL
Last Name:MURDOCH
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 1:2014 S HOWARD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-4532
Mailing Address - Country:US
Mailing Address - Phone:509-522-2000
Mailing Address - Fax:509-522-0292
Practice Address - Street 1:2014 S HOWARD ST
Practice Address - Street 2:SUITE A
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-4532
Practice Address - Country:US
Practice Address - Phone:509-522-2000
Practice Address - Fax:509-522-0292
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000084471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice