Individual
MATTHEW LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3670 WOODWARD AVE, SUITE 101B, DETROIT, MI 48201-2455
(313) 355-1665
(313) 831-9064
Mailing address
2409 TUFTS AVE, ROYAL OAK, MI 48067-4039
(313) 421-0079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020479
MI
Other
Enumeration date
09/29/2011
Last updated
09/16/2015
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