DR. BRAD BAGWELL, D.M.D., P.A.
Dentist - General Practice
Active
Individual
NPI: 1982637989
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DN15097 (FL) |
Frequently Asked Questions
NPI 1982637989 is the National Provider Identifier for DR. BRAD BAGWELL, D.M.D., P.A., a Dentist - General Practice provider located in Cocoa, FL. This NPI was enumerated on July 10, 2006.
DR. BRAD BAGWELL, D.M.D., P.A. practices at 7171 N COCOA BLVD, Cocoa, FL 32927.
Quick Facts
- NPI
- 1982637989
- Type
- Individual
- Enumerated
- Jul 10, 2006
- Last Updated
- Jul 8, 2007
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