Individual
DR. TREVER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11136 MOSS LN, NAMPA, ID 83651-8015
(208) 466-0515
(208) 442-5338
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 466-0515
(208) 442-5338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4671
ID
Other
Enumeration date
05/21/2014
Last updated
09/09/2015
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