DR. Matthew Lee Bagnall, D.M.D.
NPI #1205109436 in Andover, Massachusetts
Provider Information
- NPI Number
- 1205109436
- Entity Type
- Individual
- Name
- DR. Matthew Lee Bagnall, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Feb 19, 2012
- Last Updated
- Jun 25, 2014
Practice Location
- Address
- 16 HAVERHILL ST
- City
- Andover
- State
- Massachusetts
- ZIP Code
- 01810-3002
- Phone
- (978) 475-3997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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