Ann Louise Bagley, DMD Valid NPI
Individual provider · General Practice Dentistry · Fort Rucker, AL
- NPI
- 1841248895
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4064 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-05-04
- Last updated
- 2016-06-22
Practice location
Bldg 4405 Innkeeper Street
Fort Rucker, AL 36362
(334) 255-1155