Individual
DR. MICHAEL L. GAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1747 HERITAGE LN, SUITE B201, SYRACUSE, UT 84075-8552
(801) 776-2461
(801) 776-2469
Mailing address
1747 HERITAGE LN, SUITE B201, SYRACUSE, UT 84075-8552
(801) 776-2461
(801) 776-2469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141253-9922
UT
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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