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Organization

PHILIP M GRAY, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP M GRAY (OWNER/DENTIST)
(405) 513-2204
Entity
Organization

Contact information

Practice address
1617 E DANFORTH RD, EDMOND, OK 73034-3103
(405) 330-5458
Mailing address
1617 E DANFORTH RD, EDMOND, OK 73034-3103
(405) 330-5458

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/17/2022
Last updated
10/17/2022
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