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Contact Information

DOMENIC BAGLIVO JR D.M.D., P.C
100 E LANCASTER AVE. SUITE 203W
LANKENAU MEDICAL BUILDING SOUTH
WYNNEWOOD, PA19096
 Phone: 610-642-0259
 Fax: 610-896-6405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DOMENIC BAGLIVO JR DMD PC · (Female)

NPI # 1033424155
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2010
Last updated 08/12/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DS-025340-L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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