Individual
TODD ALAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 COUNTY RD STE I, MINDEN, NV 89423-4465
(775) 782-8077
(775) 782-6199
Mailing address
PO BOX 2260, MINDEN, NV 89423-2260
(775) 782-8077
(775) 782-6199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4354
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503414
—
NV
Enumeration date
10/13/2006
Last updated
02/17/2014
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