| Matthew A. Bagnulo, Dds, Ps | |
|
11830 Ne 128th St., #202 Kirkland WA 98034 | |
| (425) 821-9000 | |
| (425) 814-2908 |
| Full Name | Matthew A. Bagnulo, Dds, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11830 Ne 128th St., #202, Kirkland, Washington |
| Authorized Official Name and Position | Matthew Adam Bagnulo (OWNER) |
| Authorized Official Contact | 4258219000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew A. Bagnulo, Dds, Ps 11830 Ne 128th St., #202 Kirkland WA 98034 Ph: (425) 821-9000 | Matthew A. Bagnulo, Dds, Ps 11830 Ne 128th St., #202 Kirkland WA 98034 Ph: (425) 821-9000 |
| NPI Number | 1053978064 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053978064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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