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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