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Individual

ANDREW WILLIAM RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
2421 GOOSEBERRY CIR, LEXINGTON, KY 40509-8567
(210) 771-5761
Mailing address
3180 N ALMA SCHOOL RD STE 3, CHANDLER, AZ 85224-1435
(210) 771-5761

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8855
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D009409
AZ

Other

Enumeration date
07/22/2009
Last updated
03/07/2023
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