Individual
DR. RAY ANAND BEDDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.,D.M.D., M.S.
Contact information
Practice address
2619 S ELM PL, SUITE A, BROKEN ARROW, OK 74012-7878
(918) 451-2717
(918) 455-1491
Mailing address
2619 S ELM PL, SUITE A, BROKEN ARROW, OK 74012-7878
(918) 451-2717
(918) 455-1491
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2 4912
OK
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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