Individual
DR. KEVIN PATRICK BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 PARK PL, MISHAWAKA, IN 46545-3555
(574) 259-9956
Mailing address
15817 GATESHEAD DR, WESTFIELD, IN 46074-5035
(570) 390-0933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014453A
IN
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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