Gary a Kokx Dmd Todd D Ray Dmd Pllc
NPI #1134164601 in South Portland, Maine
Provider Information
- NPI Number
- 1134164601
- Entity Type
- Organization
- Organization Name
- Gary a Kokx Dmd Todd D Ray Dmd Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 18, 2006
- Last Updated
- May 21, 2012
Practice Location
- Address
- 25 LONG CREEK DR
- Address 2
- 1
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2440
- Phone
- (207) 774-6553
Authorized Official
- Name
- DR. TODD DOUGLAS RAY, DMD
- Title
- OWNER/PARTNER
- Phone
- (207) 774-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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