NPI | 1609347731 |
---|---|
Doing Business As | BAGLEY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | THOMAS BAGLEY President 336-854-5850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |