Charles J Bagdade, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Vernon Hills, IL

NPI

1649239195

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

019-013723 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-22

Last updated

2009-03-03