Organization
MATTHEW A. BAGNULO, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ADAM BAGNULO DDS (OWNER)
(425) 821-9000
Entity
Organization
Contact information
Practice address
11830 NE 128TH ST., #202, KIRKLAND, WA 98034
(425) 821-9000
(425) 814-2908
Mailing address
11830 NE 128TH ST., #202, KIRKLAND, WA 98034
(425) 821-9000
(425) 814-2908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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