Organization
RANDI KENNEDY GRAY, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI KENNEDY GRAY DDS (DENTIST)
(918) 774-4369
Entity
Organization
Contact information
Practice address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
(918) 776-0804
Mailing address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7056
OK
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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