Individual
KENNETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 E HWY 377 STE 100, GRANBURY, TX 76048-1201
(817) 776-4337
Mailing address
301 E HWY 377 STE 100, GRANBURY, TX 76048-1201
(817) 776-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32274
TX
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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