Individual
DR. RICHARD MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
940 BELMONT 160 ST, BROCKTON VA MEDICAL CTR, BROCKTON, MA 02401
(774) 826-2226
Mailing address
PO BOX 51, HALIFAX, MA 02338
(781) 293-5633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10755
MA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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