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Kenneth Gray, DDS

Dentist in Granbury, TX. Individual provider (NPI-1).

NPI number1639623176
StatusActive
Last updated in NPPESAug 13, 2016

Details

NPI
1639623176
Entity type
Individual (NPI-1)
Name
Kenneth Gray
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 13, 2016
Last updated
Aug 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist32274TXYes

Practice location

301 E Hwy 377 Ste 100
Granbury, TX 76048-1201

Phone 817-776-4337

Mailing address

301 E Hwy 377 Ste 100
Granbury, TX 76048-1201

Phone 817-776-4337

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