Richard Jerome Gray, DDS Valid NPI
Individual provider · Endodontics · Loma Linda, CA
- NPI
- 1407857527
- Type
- Individual (Type 1)
- Primary specialty
- Endodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223E0200X
- License number
- 0401412430 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-10
- Last updated
- 2022-01-19
Practice location
11092 Anderson St Rm 4001
Loma Linda, CA 92350-1706
(095) 584-6819