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1699988790
BRENT WAYNE GRAY
LOGAN, UT
NPI
1699988790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 276161-9922)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Dr. BRENT WAYNE GRAY DMD
1445 N 400 E STE 2
LOGAN, UT 84341-7564
Phone number: 435-752-4136
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Mailing Address
Dr. BRENT WAYNE GRAY DMD
1445 N 400 E STE 2
LOGAN, UT 84341-7564
Phone number: 435-752-4136
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