Individual
JEFFREY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 WEST ST, KEENE, NH 03431-2453
(603) 352-0502
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03819
NH
122300000X
Dentist
1855516
MA
Other
Enumeration date
11/30/2010
Last updated
12/08/2010
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