Provider Demographics
NPI:1902842164
Name:MURRAY, VIRGINIA KLUTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:KLUTE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9416
Mailing Address - Country:US
Mailing Address - Phone:973-252-1099
Mailing Address - Fax:973-252-6089
Practice Address - Street 1:22 PLAZA RD
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9416
Practice Address - Country:US
Practice Address - Phone:973-252-1099
Practice Address - Fax:973-252-6089
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ91681223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics