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Organization
DONALD J. BEKEDAM, D.D.S., INC.
Active
Organization
DONALD J. BEKEDAM, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. BEKEDAM D.D.S. (PRESIDENT)
(209) 358-1577
Entity
Organization
Contact information
Practice address
2665 ALABAMA ST, ATWATER, CA 95301-2908
(209) 358-1577
(209) 358-7419
Mailing address
2665 ALABAMA ST, ATWATER, CA 95301-2908
(209) 358-1577
(209) 358-7419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23474
CA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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