Individual
DR. KELLY WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
606 FREDERICK RD, CATONSVILLE, MD 21228-4856
(410) 744-2230
Mailing address
6007 MCKINLEY ST, BETHESDA, MD 20817-3615
(352) 562-2251
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15173
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN18778
FL
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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