James T Gray, DDS
NPI #1164659918 in East Peoria, Illinois
Provider Information
- NPI Number
- 1164659918
- Entity Type
- Individual
- Name
- James T Gray, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 19, 2009
- Last Updated
- Jun 19, 2009
Practice Location
- Address
- 2404 E WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-1859
- Phone
- (309) 699-5521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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