Individual
MARK GREGORY GRAY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 ORCHARD AVE, BRIDGEPORT, WV 26330-1737
(304) 657-8324
Mailing address
200 ORCHARD AVE, BRIDGEPORT, WV 26330-1737
(304) 657-8324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4211
WV
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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