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Individual

MR. BRIAN D RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1256 BOILING SPRINGS RD, SPARTANBURG, SC 29303
(864) 582-6306
(864) 585-9593
Mailing address
1256 BOILING SPRINGS RD, SPARTANBURG, SC 29303
(864) 582-6306
(864) 585-9593

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC3643
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3643
SC
Enumeration date
12/18/2006
Last updated
07/08/2007
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