Individual
DR. RICHARD JEROME GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11092 ANDERSON ST RM 4001, LOMA LINDA, CA 92350-1706
(095) 584-6819
Mailing address
11092 ANDERSON ST RM 4001, LOMA LINDA, CA 92350-1706
(909) 558-4681
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401412430
VA
Other
Enumeration date
08/10/2005
Last updated
01/19/2022
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