Michael Leonard Bagnoli

NPI #1700976719 in Lafayette, Indiana

Provider Information

NPI Number
1700976719
Entity Type
Individual
Name
Michael Leonard Bagnoli
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2020 UNION STREET
Address 2
SUITE 200
State
Indiana
ZIP Code
47904
Phone
(765) 446-8808

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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