Randi Kennedy Gray, D.d.s., Pllc | |
504 E Cherokee Ave Sallisaw OK 74955-4842 | |
(918) 776-0804 | |
Not Available |
Full Name | Randi Kennedy Gray, D.d.s., Pllc |
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Speciality | Clinic/center - Dental |
Location | 504 E Cherokee Ave, Sallisaw, Oklahoma |
Authorized Official Name and Position | Randi Kennedy Gray (DENTIST) |
Authorized Official Contact | 9187744369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randi Kennedy Gray, D.d.s., Pllc 504 E Cherokee Ave Sallisaw OK 74955-4842 Ph: () - | Randi Kennedy Gray, D.d.s., Pllc 504 E Cherokee Ave Sallisaw OK 74955-4842 Ph: (918) 776-0804 |
NPI Number | 1346735594 |
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Provider Enumeration Date | 06/28/2018 |
Last Update Date | 06/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346735594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7056 (Oklahoma) | Primary |
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