Individual
BRETT C GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
1463 KLONDIKE ROAD, SUITE C, CONYERS, GA 30094
(770) 483-9692
(678) 487-1004
Mailing address
1463 KLONDIKE ROAD, SUITE C, CONYERS, GA 30094
(770) 483-9692
(678) 487-1004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047755
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7235
KY
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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