Organization
RAY FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RAY DDS (OWNER)
(304) 816-1874
Entity
Organization
Contact information
Practice address
2012 PLEASANT VALLEY RD, FAIRMONT, WV 26554-9456
(304) 368-0342
Mailing address
2012 PLEASANT VALLEY RD, FAIRMONT, WV 26554-9456
(304) 368-0342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
06/13/2022
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