Individual
DR. MICHELLE MARIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6514 20TH AVE, BROOKLYN, NY 11204-3908
(718) 236-7932
Mailing address
6514 20TH AVE, BROOKLYN, NY 11204-3908
(718) 236-7932
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
050265
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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