Organization
B.G. BEDFORD,D.D.S.
Active
Parent organization
B.G. BEDFORD, D.D.S.
Other names
Billy G. Bedford, D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
B.G. BEDFORD, D.D.S.
Authorized official
DR. BILLY G. BEDFORD D.D.S. (GENERAL DENTISTRY SINGLE PROPRIETOR)
(310) 671-6191
Entity
Organization
Contact information
Practice address
808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914
(310) 671-6191
(310) 338-1249
Mailing address
808 E MANCHESTER BLVD, P.O. BOX 1786, INGLEWOOD, CA 90301-1914
(310) 671-6191
(310) 338-1249
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
27955
CA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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