Individual
DR. JACOB M BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
508 FRONT ST, ELMER, NJ 08318-2178
(856) 358-2626
(856) 358-7767
Mailing address
508 FRONT ST, ELMER, NJ 08318-2143
(856) 358-2626
(856) 358-7767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17052
NJ
Other
Enumeration date
10/04/2006
Last updated
04/29/2009
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