Individual
DR. RONALD WENDELL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
406 CHESTERFIELD AVE, LANCASTER, SC 29720-3508
(803) 283-9969
(803) 283-9907
Mailing address
406 CHESTERFIELD AVE, PO BOX 906, LANCASTER, SC 29720-3508
(803) 283-9969
(803) 283-9907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 2105
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436128
—
SC
Enumeration date
10/10/2006
Last updated
07/09/2007
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