Individual
KELBY C GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21582 S ELLSWORTH LOOP RD, SUITE 126, QUEEN CREEK, AZ 85242-7881
(480) 888-1416
Mailing address
21582 S ELLSWORTH LOOP RD, SUITE 126, QUEEN CREEK, AZ 85242-7881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7795
AZ
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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