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Organization
DANIEL GRAY, JR. D.D.S, P.A.
Active
Organization
DANIEL GRAY, JR. D.D.S, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GRAY JR. DDS (DOCTOR)
(407) 291-1056
Entity
Organization
Contact information
Practice address
2809 N POWERS DR, SUITE A, ORLANDO, FL 32818-3240
(407) 291-1056
(407) 291-3210
Mailing address
2809 N POWERS DR, SUITE A, ORLANDO, FL 32818-3240
(407) 291-1056
(407) 291-3210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076342000
—
FL
01
—
1669433637
NPI
FL
Enumeration date
05/13/2014
Last updated
05/13/2014
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