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Contact Information

BLAKE W. MCRAY, D.D.S., M.S.D., INC.
1309 TENNESSEE ST
VALLEJO, CA94590-4645
 Phone: 707-642-3636
 Fax: 707-642-3637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BLAKE W. MCRAY, D.D.S., M.S.D., INC.

NPI # 1437591930
LBN Legal business name BLAKE W. MCRAY, D.D.S., M.S.D., INC.
Authorized official BLAKE MCRAY - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2013
Last updated 07/24/2013 - About 13 years ago
Identifiers
CA License # 57025
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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