Floyd Bagwell Valid NPI
Individual provider · General Practice Dentistry · Forestville, MD
- NPI
- 1316095755
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 13128 (MD)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Practice location
7610 Pennsylvania Ave, 302
Forestville, MD 20747-4701
(301) 568-4800