Individual
ISABEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1454 E HUEBBE PKWY, BELOIT, WI 53511-1714
(608) 362-0672
Mailing address
1454 E HUEBBE PKWY, BELOIT, WI 53511-1714
(608) 362-0672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001612-15
WI
Other
Enumeration date
07/10/2017
Last updated
09/09/2021
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