Individual
DANIEL PAUL GAILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 880-2090
(541) 880-2092
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 880-2090
(541) 880-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9137
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
Enumeration date
07/18/2008
Last updated
07/18/2008
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