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Jan T Bagwell Dds
Dental Clinic/Center in Monroe, Louisiana
NPI 1669945861

Jan T Bagwell Dds is a Dental Clinic/Center based in Monroe, LA and is specialized in Dental. Jan T Bagwell Dds practices in Monroe, LA. The NPI Number for Jan T Bagwell Dds is 1669945861 and holds a License No. (Louisiana).

The current practice location address for Jan T Bagwell Dds is 189 Keystone Rd, Monroe, LA and can be reached out via phone at 318-665-4423.

Location: 189 Keystone Rd, Monroe, LA, 71203-8936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669945861
Provider Name
Jan T Bagwell Dds
Credential
Provider Entity Type
Organization
Address
189 Keystone Rd, Monroe, LA, 71203-8936
Phone Number
318-665-4423
Fax Number
Provider Enumeration Date
01/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760917561 01 LA NATIONAL PROVIDER NUMBER/ NPI
institution
Provider Business Practice Location Address Details
Address
189 Keystone Rd
City
Monroe
State
Louisiana
Zip
71203-8936
Phone Number
318-665-4423
Fax Number
person
Provider Business Mailing Address Details
Address
189 Keystone Rd
City
Monroe
State
Louisiana
Zip
71203-8936
Phone Number
318-665-4423
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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