MICHAEL ALTON BAGAASON

SPRINGFIELD, OR
NPI1952482770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5634)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
-- MICHAEL ALTON BAGAASON DMD
175 W B ST BLDG F
SPRINGFIELD, OR 97477-4575
Phone number: 541-746-8295
Mailing Address
-- MICHAEL ALTON BAGAASON DMD
175 W B ST BLDG F
SPRINGFIELD, OR 97477-4575
Phone number: 541-746-8295