Individual
KENNETH J BAGBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1540 LAKE ELMO DR, SUITE 3, BILLINGS, MT 59105-1797
(406) 252-1078
(406) 245-8087
Mailing address
1540 LAKE ELMO DR, SUITE 3, BILLINGS, MT 59105-1797
(406) 252-1078
(406) 245-8087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1691
MT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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