Individual
DR. JUSTIN MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1401 PROSPECT AVE E APT 707, CLEVELAND, OH 44115-2347
(601) 383-1496
Mailing address
1401 PROSPECT AVE E APT 707, CLEVELAND, OH 44115-2347
(601) 383-1496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802245870
—
MS
Enumeration date
06/14/2021
Last updated
06/14/2021
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