Individual
KENNETH ELLIS BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10151 MONTGOMERY BLVD NE, BLDG. 2 SUITE B, ALBUQUERQUE, NM 87111-3670
(505) 830-3636
(505) 830-2305
Mailing address
10151 MONTGOMERY BLVD NE, BLDG. 2 SUITE B, ALBUQUERQUE, NM 87111-3670
(505) 830-3636
(505) 830-2305
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD1137
NM
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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