Individual
MS. ROBIN ELIZABETH BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4102 ELECTRIC RD, ROANOKE, VA 24018-0614
(540) 772-9515
(540) 772-0716
Mailing address
4102 ELECTRIC RD., BLUE RIDGE ENDODONTICS, ROANOKE, VA 24018
(540) 772-9515
(540) 772-0716
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401008987
VA
Other
Enumeration date
08/12/2008
Last updated
11/20/2012
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