Individual
MICHAEL RYAN JAISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1060 W MAIN ST, GAYLORD, MI 49735-8101
(989) 217-3004
Mailing address
1060 W MAIN ST, GAYLORD, MI 49735-8101
(248) 417-1411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601836
MI
Other
Enumeration date
05/25/2023
Last updated
12/27/2024
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