Provider Demographics
NPI:1285854596
Name:AWRACH, MURRY A (DMD, DSC)
Entity Type:Individual
Prefix:DR
First Name:MURRY
Middle Name:A
Last Name:AWRACH
Suffix:
Gender:M
Credentials:DMD, DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MUZZEY ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5217
Mailing Address - Country:US
Mailing Address - Phone:781-861-7777
Mailing Address - Fax:781-861-0141
Practice Address - Street 1:19 MUZZEY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5217
Practice Address - Country:US
Practice Address - Phone:781-861-7777
Practice Address - Fax:781-861-0141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA109051223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics