Organization
G. GRAY FLYNN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G. GRAY FLYNN DMD (PRESIDENT)
(904) 282-5025
Entity
Organization
Contact information
Practice address
2468 BLANDING BLVD, SUITE 103, MIDDLEBURG, FL 32068-5193
(904) 282-5025
Mailing address
2468 BLANDING BLVD, SUITE 103, MIDDLEBURG, FL 32068-5193
(904) 282-5025
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 8514
FL
Other
Enumeration date
01/15/2007
Last updated
04/04/2012
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