Individual provider · NPI-1

Dr. Michael W. Bailey, D.D.S.

Dentist · Puyallup, WA

NPI number1053480541
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1053480541
Entity type
Individual (NPI-1)
Name
Dr. Michael W. Bailey
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 7, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE00004825WAYes

Practice location

10211 144th St E
Puyallup, WA 98374-4955

Phone 253-848-7281 · Fax 253-841-7935

Mailing address

10211 144th St E
Puyallup, WA 98374-4955

Phone 253-848-7281 · Fax 253-841-7935

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