Individual
KALI GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1400 DIVISION STREET, ELGIN, OR 97827
(541) 437-6321
Mailing address
PO BOX 929, ELGIN, OR 97827-0929
(541) 437-6321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10043
OR
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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