Organization
WILLIAM A. GRAY, D.M.D., LLC
Active
Organization
WILLIAM A. GRAY, D.M.D., LLC
Active
Other names
St. Louis South Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M POPPE (PRACTICE ADMINISTRATOR)
(314) 842-4699
Entity
Organization
Contact information
Practice address
9911 KENNERLY RD, SUITE E, SAINT LOUIS, MO 63128-2700
(314) 842-4699
(314) 842-3074
Mailing address
9911 KENNERLY RD, SUITE E, SAINT LOUIS, MO 63128-2700
(314) 842-4699
(314) 842-3074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
06/30/2023
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