Dr. NICHOLAS RAY DMD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1346973849- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 611 W PARK ST, URBANA, IL, 618012529
- Phone
- (217) 326-1297
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: IL #018002217