Organization
ASHLEY AND GRAY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GRAY (OWNER/PARTNER)
(660) 886-8170
Entity
Organization
Contact information
Practice address
917 S ODELL AVE, MARSHALL, MO 65340-2603
(660) 886-8170
Mailing address
917 S ODELL AVE, MARSHALL, MO 65340-2603
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401201108
—
MO
Enumeration date
04/01/2008
Last updated
08/12/2013
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