| Gary A Kokx Dmd Todd D Ray Dmd Pllc | |
|
25 Long Creek Dr 1 South Portland ME 04106-2440 | |
| (207) 774-6553 | |
| (207) 774-0496 |
| Full Name | Gary A Kokx Dmd Todd D Ray Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25 Long Creek Dr, South Portland, Maine |
| Authorized Official Name and Position | Todd Douglas Ray (OWNER/PARTNER) |
| Authorized Official Contact | 2077746553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Kokx Dmd Todd D Ray Dmd Pllc 25 Long Creek Dr 1 South Portland ME 04106-2440 Ph: (207) 774-6553 | Gary A Kokx Dmd Todd D Ray Dmd Pllc 25 Long Creek Dr 1 South Portland ME 04106-2440 Ph: (207) 774-6553 |
| NPI Number | 1134164601 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134164601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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