Dr. Dominicque Blanche Gray, D.D.S.
Dentist, General Practice in Washington, DC. Individual provider (NPI-1).
NPI number1003103151
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1003103151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dominicque Blanche Gray
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2011
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1001106 | DC | Yes |
Practice location
3946 Minnesota Ave NeWashington, DC 20019-2661
Phone 202-397-1033
Mailing address
3946 Minnesota Ave NeWashington, DC 20019-2661
Phone 202-397-1033
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