Individual
DR. GEORGE E BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1216 RIDGEWOOD PL, HOUSTON, TX 77055-5048
(480) 652-0870
Mailing address
1216 RIDGEWOOD PL, HOUSTON, TX 77055-5048
(480) 652-0870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10058
CO
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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