Individual
DR. DWIGHT ENGLISH BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1507
(336) 718-1902
Mailing address
4555 BRIMMER PLACE DR, KERNERSVILLE, NC 27284-7798
(336) 774-2329
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7210
NC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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