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Individual
JAMES DOUGLAS GRAY
Active
Individual
JAMES DOUGLAS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS DENTIST
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1776
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001238000
—
ID
01
—
40523
REJENCE
ID
01
—
67835
B CROSS
ID
Enumeration date
08/14/2006
Last updated
07/08/2007
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