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Organization

ALISHA A. GRAY, D.D.S. AND CLARE E. TANNEHILL MACAULAY, D.D.S., INC

Active
Other names
Smile Works Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALISHA GRAY D.D.S. (VICE PRESIDENT)
(614) 733-0800
Entity
Organization

Contact information

Practice address
500 S JEFFERSON AVE, PLAIN CITY, OH 43064-4137
(614) 733-0800
Mailing address
500 S JEFFERSON AVE, PLAIN CITY, OH 43064-4137
(614) 733-0800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-021936
OH

Other

Enumeration date
12/11/2009
Last updated
12/11/2009
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