Individual
MICHAEL JOHN GATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8918 WOODYARD RD, CLINTON, MD 20735-4204
(301) 868-6200
Mailing address
8918 WOODYARD RD, CLINTON, MD 20735-4204
(301) 868-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5809
MD
Other
Enumeration date
10/19/2006
Last updated
04/23/2013
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