Organization
BAGLEY DENTAL, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANDREW BAGLEY DDS (PRESIDENT)
(509) 547-1631
Entity
Organization
Contact information
Practice address
4904 CONVENTION DR., PASCO, WA 99301
(509) 547-1631
(509) 547-3885
Mailing address
4904 CONVENTION DR., PASCO, WA 99301
(509) 547-1631
(509) 547-3885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WA
Other
Enumeration date
04/17/2007
Last updated
12/03/2008
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