Provider Demographics
NPI:1215264486
Name:LAW, MURIEL IFRAH (DDS)
Entity type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:IFRAH
Last Name:LAW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 VILLA CREST DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6313
Mailing Address - Country:US
Mailing Address - Phone:901-826-4441
Mailing Address - Fax:
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:BLD A SUITE 340
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-305-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000090141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice