Michael Ryan Jaisle, DDS Valid NPI

Individual provider · Dentist · Gaylord, MI

NPI

1982396958

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2901601836 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2023-05-25

Last updated

2024-12-27