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Individual
DR. GORDON WARREN BRAY JR.
Active
Individual
DR. GORDON WARREN BRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433103
—
SC
Enumeration date
10/18/2006
Last updated
05/13/2008
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