Individual
DR. PETER M GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1520 E 23RD ST S, INDEPENDENCE, MO 64055-1657
(816) 252-9190
(816) 252-9390
Mailing address
916 HACKNEY CT, LEES SUMMIT, MO 64081-2303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13315
MO
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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