Organization
DANIEL GRAY, JR. D.D.S, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GRAY JR. DDS (DOCTOR)
(407) 291-1056
Entity
Organization
Contact information
Practice address
2809 N POWERS DR, SUITE A, ORLANDO, FL 32818-3240
(407) 291-1056
(407) 291-3210
Mailing address
2809 N POWERS DR, SUITE A, ORLANDO, FL 32818-3240
(407) 291-1056
(407) 291-3210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076342000
—
FL
01
—
1669433637
NPI
FL
Enumeration date
05/13/2014
Last updated
05/13/2014
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