Individual
JOEL A RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
615 HARRIS ST, EUREKA, CA 95503-4447
(707) 442-1754
(707) 442-1755
Mailing address
615 HARRIS ST, EUREKA, CA 95503-4447
(707) 442-1754
(707) 442-1755
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23252
STATE OF CALIFORNIA
CA
Enumeration date
10/09/2007
Last updated
10/09/2007
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