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Organization
MINDA J GRAY
Active
Organization
MINDA J GRAY
Active
Other names
Omos Park Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDA J GRAY DDS (OWNER/DENTIST)
(210) 824-2303
Entity
Organization
Contact information
Practice address
351 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2412
(210) 824-2303
Mailing address
351 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2412
(210) 824-2303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31920
TX
Other
Enumeration date
01/26/2017
Last updated
01/30/2017
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