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Dr. JONATHAN RUSSELL GRAY -- DDS

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1508048521
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
4344 20TH AVE S, FARGO, ND, 581037436
Phone
(701) 239-5969

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary License: ND #2096

All Addresses

MAILING

4344 20TH AVE S

FARGO, ND, 581037436

(701) 239-5969

LOCATION

4344 20TH AVE S

FARGO, ND, 581037436

(701) 239-5969