Individual
SELENA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1600 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-4436
(504) 304-9929
Mailing address
4925 S ROCHEBLAVE ST, NEW ORLEANS, LA 70125-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101191-875
WI
1223G0001X
General Practice Dentistry
Primary
108614
CA
1223G0001X
General Practice Dentistry
2023039872
MO
1223G0001X
General Practice Dentistry
7548
LA
Other
Enumeration date
05/14/2021
Last updated
01/16/2026
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