Bagley, Jennica M.

Bagley, Jennica M. is an individual health care provider with primary practice located at 1201 Se Tech Center Dr Bldg. 13, Suite 150, Vancouver WA 98683-5512. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bagley, Jennica M. can be contacted via phone (360) 892-7107.

Contact Information

Primary practice address
1201 Se Tech Center Dr Bldg. 13, Suite 150 Vancouver WA 98683-5512
Phone: (360) 892-7107
Fax: (360) 852-8945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH 6506 Washington

Profile Details

NPI number 1558816439
LBN Legal business name Bagley, Jennica M.
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - about 9 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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