Organization · Type 2 NPI

Jan T Bagwell DDS

Dental Clinic/Center · Monroe, LA

NPI number 1669945861 Active

About NPI 1669945861

Jan T Bagwell DDS's National Provider Identifier is 1669945861, issued on Jan 10, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Monroe, LA. The record was last updated on Jan 10, 2019.