| NPI | 1699181248 |
|---|---|
| Former Name | MICHELLE ASHLEY GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4681) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8413) |
| 1223G0001X Dentist, General Practice (Licence: NM DD4734) | |
| 1223G0001X Dentist, General Practice (Licence: SC 8413) | |
| 1223G0001X Dentist, General Practice (Licence: TX 36134) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-08-10 |