| Bagley Dental, Ps | |
|
4904 Convention Dr. Pasco WA 99301 | |
| (509) 547-1631 | |
| (509) 547-3885 |
| Full Name | Bagley Dental, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4904 Convention Dr., Pasco, Washington |
| Authorized Official Name and Position | James Andrew Bagley (PRESIDENT) |
| Authorized Official Contact | 5095471631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bagley Dental, Ps 4904 Convention Dr. Pasco WA 99301 Ph: (509) 547-1631 | Bagley Dental, Ps 4904 Convention Dr. Pasco WA 99301 Ph: (509) 547-1631 |
| NPI Number | 1750507182 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750507182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Washington) | Primary |
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