Individual
DR. AUTUMN NICOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
340 E WASHINGTON ST, SLINGER, WI 53086-9587
(262) 644-6921
Mailing address
340 E WASHINGTON ST, SLINGER, WI 53086-9587
(262) 644-6921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
600130015
WI
Other
Enumeration date
07/02/2019
Last updated
10/01/2023
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