Matthew A. Bagnulo, Dds, Ps
NPI #1053978064 in Kirkland, Washington
Provider Information
- NPI Number
- 1053978064
- Entity Type
- Organization
- Organization Name
- Matthew A. Bagnulo, Dds, Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2019
- Last Updated
- May 24, 2019
Practice Location
- Address
- 11830 NE 128TH ST., #202
- City
- Kirkland
- State
- Washington
- ZIP Code
- 98034
- Phone
- (425) 821-9000
Authorized Official
- Name
- MATTHEW ADAM BAGNULO, DDS
- Title
- OWNER
- Phone
- (425) 821-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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