| NPI | 1811335250 |
|---|---|
| Former Name | SARAH LAUREN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS039539) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-08-02 |