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1831388602
BAL BAGWAT
MENLO PARK, CA
NPI
1831388602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA G29999)
Enumeration Date
2007-10-17
Last Update Date
2009-03-09
Business Address
DR. BAL BAGWAT MD
631 MENLO AVE
MENLO PARK, CA 94025-4701
Phone number: 650-322-2443
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Mailing Address
DR. BAL BAGWAT MD
631 MENLO AVE
MENLO PARK, CA 94025-4701
Phone number: 650-322-2443
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