Bagley Dental

NPI #1902032899 in Pasco, Washington

Provider Information

NPI Number
1902032899
Entity Type
Organization
Organization Name
Bagley Dental
Subpart
Yes (part of a larger organization)
Parent Organization
BAGLEY DENTAL, PS
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 5, 2009
Last Updated
Jun 5, 2009

Practice Location

Address
1028 W NIXON ST
City
Pasco
ZIP Code
99301-5216
Phone
(509) 547-1632

Authorized Official

Name
DR. JAMES KENT BAGLEY, D.D.S.
Title
DENTAL PROVIDER
Phone
(509) 547-1632

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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