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Individual

MR. IMAD BEDDAWI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1355 FLORIN RD, #18, SACRAMENTO, CA 95822
(916) 391-1161
(916) 391-1164
Mailing address
1355 FLORIN RD, #18, SACRAMENTO, CA 95822
(916) 391-1161
(916) 391-1164

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
40536
CA

Other

Enumeration date
01/17/2008
Last updated
01/17/2008
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