Individual
ERIC THOMAS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
475 N 300 W, SUITE 16, KAYSVILLE, UT 84037-3125
(801) 543-2220
Mailing address
475 N 300 W, SUITE 16, KAYSVILLE, UT 84037-3125
(801) 543-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275158-9923
UT
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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