Philip Michael Gray, DDS Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1366889891
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6484 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-05-23
- Last updated
- 2013-05-23
Practice location
1605 E 19th St
Edmond, OK 73013-6621
(405) 513-2204