Individual
DR. MICHAEL STEPHEN PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060-6709
(804) 625-4064
(804) 625-4066
Mailing address
10120 W BROAD ST STE I, GLEN ALLEN, VA 23060-6709
(804) 625-4064
(804) 625-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415999
VA
1223G0001X
General Practice Dentistry
0401415999
VA
Other
Enumeration date
05/01/2015
Last updated
11/21/2019
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