Individual
DR. JENNIFER ELLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 BROADWAY, CHESTERTON, IN 46304-2230
(219) 763-8112
Mailing address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033143
IL
Other
Enumeration date
06/08/2021
Last updated
04/12/2023
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