Individual
DR. M. ALAN BAGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6120 BRANDON AVENUE, SUITE 104, SPRINGFIELD, VA 22150-6120
(703) 451-3900
(703) 451-7912
Mailing address
6120 BRANDON AVENUE, SUITE 104, SPRINGFIELD, VA 22150-6120
(703) 451-3900
(703) 451-7912
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5364
NJ
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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