Individual
TIMOTHY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2012 PLEASANT VALLEY RD, FAIRMONT, WV 26554-9456
(304) 368-0342
Mailing address
2012 PLEASANT VALLEY RD, FAIRMONT, WV 26554-9456
(304) 368-0342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4531
WV
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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