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Contact Information

MATTHEW A. BAGNULO, DDS, PS
11830 NE 128TH ST., #202
KIRKLAND, WA98034
 Phone: 425-821-9000
 Fax: 425-814-2908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MATTHEW A. BAGNULO, DDS, PS

NPI Number 1053978064
LBN Legal business name MATTHEW A. BAGNULO, DDS, PS
Authorized official MATTHEW BAGNULO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2019
Last updated 05/24/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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