Provider Demographics
NPI:1659536373
Name:LONDON, MURRAY L (DDS)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:L
Last Name:LONDON
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 1:6773 CORTONA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2394
Mailing Address - Country:US
Mailing Address - Phone:214-407-7356
Mailing Address - Fax:214-935-9142
Practice Address - Street 1:6773 CORTONA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2394
Practice Address - Country:US
Practice Address - Phone:214-407-7356
Practice Address - Fax:214-935-9142
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7505122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist