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Individual

MEREDETH SU GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1608 LAFAYETTE AVENUE, TERRE HAUTE, IN 47804
(812) 466-9826
(812) 466-1720
Mailing address
1608 LAFAYETTE AVENUE, TERRE HAUTE, IN 47804
(812) 466-9826
(812) 466-1720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011460A
IN

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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