Organization
DR GRAY ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDI DEBENEDETTO (FINANCIAL COORDINATOR)
(909) 981-2025
Entity
Organization
Contact information
Practice address
436 N MOUNTAIN AVE, UPLAND, CA 91786-5117
(909) 981-2025
(909) 920-0398
Mailing address
436 N MOUNTAIN AVE, UPLAND, CA 91786-5117
(909) 981-2025
(909) 920-0398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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