Individual
DR. KEVIN CHARLES RAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 S 2ND ST, JENKS, OK 74037-4001
(918) 299-2182
Mailing address
202 S 2ND ST, JENKS, OK 74037-4001
(918) 299-2182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4704
OK
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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