Individual
DR. SAMANTHA MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3503 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 865-7207
Mailing address
7549 MILLBROOK DR, SHREVEPORT, LA 71105-5404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6789
LA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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