Individual
STEPHEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1020
Mailing address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040395
PA
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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