Individual
DR. MICHAEL BAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2345 SW 320TH ST, FEDERAL WAY, WA 98023-2568
(253) 838-2123
Mailing address
2345 SW 320TH ST, FEDERAL WAY, WA 98023-2568
(253) 838-2123
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE61542904
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
RES.004268
OH
Other
Enumeration date
06/19/2020
Last updated
08/23/2024
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