Individual
JAMES T GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2404 E WASHINGTON ST, EAST PEORIA, IL 61611-1859
(309) 699-5521
(309) 699-7050
Mailing address
2404 E WASHINGTON ST, EAST PEORIA, IL 61611-1859
(309) 699-5521
(309) 699-7050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-021753
IL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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