Blake W. Mcray, D.d.s., M.s.d., Inc. | |
1309 Tennessee St Vallejo CA 94590-4645 | |
(707) 642-3636 | |
(707) 642-3637 |
Full Name | Blake W. Mcray, D.d.s., M.s.d., Inc. |
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Speciality | Dentist - Endodontics |
Location | 1309 Tennessee St, Vallejo, California |
Authorized Official Name and Position | Blake Wesley Mcray (PRESIDENT/OWNER) |
Authorized Official Contact | 7076423636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blake W. Mcray, D.d.s., M.s.d., Inc. 1309 Tennessee St Vallejo CA 94590-4645 Ph: (707) 642-3636 | Blake W. Mcray, D.d.s., M.s.d., Inc. 1309 Tennessee St Vallejo CA 94590-4645 Ph: (707) 642-3636 |
NPI Number | 1437591930 |
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Provider Enumeration Date | 07/24/2013 |
Last Update Date | 07/24/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437591930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 57025 (California) | Primary |
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