Individual
SHAWN R RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1615 32ND ST NE, CEDAR RAPIDS, IA 52402-4072
(319) 294-2323
(319) 395-6715
Mailing address
1615 32ND ST NE, CEDAR RAPIDS, IA 52402-4072
(319) 294-2323
(319) 395-6715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08147
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18544
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/16/2006
Last updated
07/08/2007
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