| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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