Autumn Nicole Gray, DDS Valid NPI
Individual provider · General Practice Dentistry · Slinger, WI
- NPI
- 1538721212
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 600130015 (WI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-07-02
- Last updated
- 2023-10-01
Practice location
340 E Washington St
Slinger, WI 53086-9587
(262) 644-6921