Organization
BAGNELL DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HOWARD BAGNELL D. D. S. (OWNER/DENTIST)
(406) 626-5520
Entity
Organization
Contact information
Practice address
15276 BELKER LANE, FRENCHTOWN, MT 59834
(406) 626-5520
Mailing address
15276 BELKER LANE, FRENCHTOWN, MT 59834
(406) 626-5520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1951
MT
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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