DR. Jonathan Russell Gray, DDS
NPI #1508048521 in Fargo, North Dakota
Provider Information
- NPI Number
- 1508048521
- Entity Type
- Individual
- Name
- DR. Jonathan Russell Gray, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Nov 30, 2007
- Last Updated
- Aug 19, 2011
Practice Location
- Address
- 4344 20TH AVE S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-7436
- Phone
- (701) 239-5969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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