Individual
ADAM BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 W PARRISH LN, CENTERVILLE, UT 84014-1852
(801) 298-3230
Mailing address
4661 CREEKVIEW DR, EDEN, UT 84310-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10834647-9922
UT
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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