Bagg, Demitria

Bagg, Demitria is an individual health care provider with primary practice located at 2222 E Highland Ave Ste 320 , Phoenix AZ 85016-4879. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bagg, Demitria can be contacted via phone (602) 956-9560.

Contact Information

Primary practice address
2222 E Highland Ave Ste 320 Phoenix AZ 85016-4879
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1538849336
LBN Legal business name Bagg, Demitria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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