Individual
FLOYD BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7610 PENNSYLVANIA AVE, 302, FORESTVILLE, MD 20747-4701
(301) 568-4800
Mailing address
6613 ALLENTOWN RD, TEMPLE HILLS, MD 20748-2723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13128
MD
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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