Organization
GRAY COSMETIC & FAMILY DENTISTRY
Active
Other names
West Texas Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHET KENNETH GRAY D.D.S. (PRESIDENT)
(432) 694-5741
Entity
Organization
Contact information
Practice address
2701 W CUTHBERT AVE, MIDLAND, TX 79701-3819
(432) 694-5741
(432) 694-5815
Mailing address
2701 W CUTHBERT AVE, MIDLAND, TX 79701-3819
(432) 694-5741
(432) 694-5815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21297
TX
2085R0202X
Diagnostic Radiology Physician
Primary
21297
TX
Other
Enumeration date
10/31/2008
Last updated
11/10/2008
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