Ashley And Gray Dds | |
917 S Odell Ave Marshall MO 65340-2603 | |
(660) 886-8170 | |
Not Available |
Full Name | Ashley And Gray Dds |
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Speciality | Clinic/center - Dental |
Location | 917 S Odell Ave, Marshall, Missouri |
Authorized Official Name and Position | Peter Gray (OWNER/PARTNER) |
Authorized Official Contact | 6608868170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ashley And Gray Dds 917 S Odell Ave Marshall MO 65340-2603 Ph: () - | Ashley And Gray Dds 917 S Odell Ave Marshall MO 65340-2603 Ph: (660) 886-8170 |
NPI Number | 1386816189 |
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Provider Enumeration Date | 04/01/2008 |
Last Update Date | 08/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386816189 | NPI | - | NPPES |
401201108 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 13315 (Missouri) | Primary |
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