Individual
MARIAH LYNNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
3405 BLUEMONT PARK, HILLIARD, OH 43026-7598
(513) 600-3666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39
OH
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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