Individual
KALE T GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
810 WALNUT ST SW, ALBANY, OR 97321-2438
(541) 223-9843
Mailing address
2350 NW CENTURY DR # 210, CORVALLIS, OR 97330-3495
(541) 243-8988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN013455
GA
1223P0221X
Pediatric Dentistry
Primary
D9842
OR
Other
Enumeration date
03/01/2007
Last updated
02/22/2015
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