Individual
BRIAN L GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D
Contact information
Practice address
120 9TH ST, LAKEPORT, CA 95453-4320
(707) 263-5390
(707) 263-9269
Mailing address
120 9TH ST, LAKEPORT, CA 95453-4320
(707) 263-5390
(707) 263-9269
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37557
CA
Other
Enumeration date
03/11/2008
Last updated
04/02/2008
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