Basic Information
| Provider Information | |||||||||
| NPI: | 1407937378 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURASHIGE | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | GREGORY | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20301 BLUFFSIDE CIR | ||||||||
| Address2: | UNIT 401 | ||||||||
| City: | HUNTINGTON BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926468521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145363576 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 18025 GALE AVE | ||||||||
| Address2: | |||||||||
| City: | CITY OF INDUSTRY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917481245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269652500 | ||||||||
| FaxNumber: | 9095985900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 41762 | CA | Y | Dental Providers | Dentist | General Practice |
No ID Information.