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Organization
RANDI KENNEDY GRAY, D.D.S., PLLC
Active
Organization
RANDI KENNEDY GRAY, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI KENNEDY GRAY DDS (DENTIST)
(918) 774-4369
Entity
Organization
Contact information
Practice address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
(918) 776-0804
Mailing address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7056
OK
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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