Individual
DR. EDWARD WYATT GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1776 GRAND AVENUE, SAN DIEGO, CA 92109
(858) 270-7540
(858) 270-3428
Mailing address
1776 GRAND AVENUE, SAN DIEGO, CA 92109
(858) 270-7540
(858) 270-3428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD031272
DEPT OF CONSUMER AFFAIRS
CA
Enumeration date
08/30/2006
Last updated
03/07/2023
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