Organization
GARY A KOKX DMD TODD D RAY DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD DOUGLAS RAY DMD (OWNER/PARTNER)
(207) 774-6553
Entity
Organization
Contact information
Practice address
25 LONG CREEK DR, 1, SOUTH PORTLAND, ME 04106-2440
(207) 774-6553
(207) 774-0496
Mailing address
25 LONG CREEK DR, 1, SOUTH PORTLAND, ME 04106-2440
(207) 774-6553
(207) 774-0496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
05/21/2012
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