NICHOLAS RAY

URBANA, IL
NPI1346973849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IL  018002217)
Enumeration Date2022-07-03
Last Update Date2022-07-03
Business Address
Dr. NICHOLAS RAY DMD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
Mailing Address
Dr. NICHOLAS RAY DMD
3833 S BOND AVE APT 339
PORTLAND, OR 97239-4739
Phone number: 801-842-9166