JAN T BAGWELL DDS

MONROE, LA
NPI1669945861
Entity TypeOrganization
Authorized ContactJAN T BAGWELL
Owner
318-665-4423
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
JAN T BAGWELL DDS
189 KEYSTONE RD
MONROE, LA 71203-8936
Phone number: 318-665-4423
Mailing Address
JAN T BAGWELL DDS
189 KEYSTONE RD
MONROE, LA 71203-8936
Phone number: