Individual
WILLIAM ALLEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D. MD
Contact information
Practice address
9911 KENNERLY RD, SUITE E, SAINT LOUIS, MO 63128-2745
(314) 842-4699
(314) 842-3074
Mailing address
9911 KENNERLY RD, SUITE E, SAINT LOUIS, MO 63128-2745
(314) 842-4699
(314) 842-3074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2012032854
MO
Other
Enumeration date
05/24/2007
Last updated
06/30/2023
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