Mark Gregory Gray II, D.D.S.

NPI #1194174904 in Bridgeport, West Virginia

Provider Information

NPI Number: 1194174904
Entity Type: Individual
Name: Mark Gregory Gray II, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 13, 2016
Last Updated: Jun 13, 2016

Practice Location

Address: 200 ORCHARD AVE
City: Bridgeport
State: West Virginia
ZIP Code: 26330-1737
Phone: (304) 657-8324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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