Organization
BLAKE W. MCRAY, D.D.S., M.S.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE WESLEY MCRAY D.D.S., M.S.D. (PRESIDENT/OWNER)
(707) 642-3636
Entity
Organization
Contact information
Practice address
1309 TENNESSEE ST, VALLEJO, CA 94590-4645
(707) 642-3636
(707) 642-3637
Mailing address
1309 TENNESSEE ST, VALLEJO, CA 94590-4645
(707) 642-3636
(707) 642-3637
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
57025
CA
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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