Joshua Price Wray

NPI #1689304529 in Malad City, Idaho

Provider Information

NPI Number: 1689304529
Entity Type: Individual
Name: Joshua Price Wray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 150 S MAIN ST
City: Malad City
State: Idaho
ZIP Code: 83252-1405
Phone: (208) 905-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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