Individual
HALIE FAYE GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3009 HWY K, O'FALLON, MO 63368
(636) 379-7552
(636) 379-7553
Mailing address
3009 HWY K, O'FALLON, MO 63368
(636) 379-7552
(636) 379-7553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61666
KS
1223G0001X
General Practice Dentistry
2019046179
MO
Other
Enumeration date
06/29/2019
Last updated
11/27/2023
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