Individual
DR. ANN LOUISE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
BLDG 4405 INNKEEPER STREET, FORT RUCKER, AL 36362
(334) 255-1155
Mailing address
2121 COUNTY ROAD 4421, BRUNDIDGE, AL 36010-2018
(334) 735-0269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4064
AL
1223G0001X
General Practice Dentistry
Primary
4064
AL
Other
Enumeration date
05/04/2006
Last updated
06/22/2016
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