Individual
JILLIAN NOELE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4472 N HIGH ST, COLUMBUS, OH 43214-2604
(614) 852-3622
Mailing address
148 AMAZON PL, COLUMBUS, OH 43214-3504
(419) 360-0097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024243
OH
Other
Enumeration date
03/10/2012
Last updated
09/21/2018
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