Individual
DR. JERRY BEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 EDWARDS BLVD, LONG BEACH, NY 11561
(516) 432-2054
Mailing address
255 EDWARDS BLVD, LONG BEACH, NY 11561
(516) 432-2054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030627
NY
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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