Individual
DR. GORDON WARREN BRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1376 CLEVELAND ST, GREENVILLE, SC 29607-2435
(864) 250-1100
(864) 250-1604
Mailing address
1376 CLEVELAND ST, GREENVILLE, SC 29607-2435
(864) 250-1100
(864) 250-1604
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433103
—
SC
Enumeration date
10/18/2006
Last updated
05/13/2008
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