JERRY WAYNE GRAY

TEMPE, AZ
NPI1518276559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AZ  4544)
Enumeration Date2010-09-24
Last Update Date2010-10-15
Business Address
Mr. JERRY WAYNE GRAY RDH
6601 S RURAL RD
TEMPE, AZ 85283-3747
Phone number: 480-456-0821
Mailing Address
Mr. JERRY WAYNE GRAY RDH
6601 S RURAL RD
TEMPE, AZ 85283-3747
Phone number: 480-456-0821