# DEDICATED DENTAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205056983
- **Authorized official:** DR. MANUEL C BEDOYA DMD (DENTIST)
- **Authorized official phone:** (520) 320-5500

## Contact information

- **Practice address:** 4001 S MISSION RD, 801 N. WILMOT ROAD STE A-2, TUCSON, AZ 85746-4010
- **Practice address phone:** (520) 320-5500
- **Practice address fax:** (520) 320-5502
- **Mailing address:** 3773 E BROADWAY BLVD, P.O. BOX 26586, TUCSON, AZ 85716-5409
- **Mailing address phone:** (520) 320-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2061 | AZ | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020