Individual
DR. DIANE MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
2565 PARK CENTER BLVD, SUITE 300, STATE COLLEGE, PA 16801-3007
(814) 308-9504
(814) 954-7723
Mailing address
101 KENNEDY ST, STATE COLLEGE, PA 16801-7806
(814) 235-9998
(814) 235-9998
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS035437
PA
Other
Enumeration date
10/30/2007
Last updated
02/07/2012
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