Bagley Dental, Ps
NPI #1750507182 in Pasco, Washington
Provider Information
- NPI Number
- 1750507182
- Entity Type
- Organization
- Organization Name
- Bagley Dental, Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Dec 3, 2008
Practice Location
- Address
- 4904 CONVENTION DR.
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301
- Phone
- (509) 547-1631
Authorized Official
- Name
- JAMES ANDREW BAGLEY, DDS
- Title
- PRESIDENT
- Phone
- (509) 547-1631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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