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Individual

DR. BRADLEY WILLIAM RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS FRCDC(C)

Contact information

Practice address
8 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 562-1020
Mailing address
8 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 562-1020
(518) 562-1022

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056610
NY

Other

Enumeration date
08/09/2013
Last updated
05/11/2022
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