Organization
OAK HARBOR DENTAL, MARK R. BEDFORD DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R. BEDFORD DDS (PRESIDENT)
(440) 292-5773
Entity
Organization
Contact information
Practice address
11707 W STATE ROUTE 163, OAK HARBOR, OH 43449-9401
(419) 898-6633
(419) 898-9909
Mailing address
11707 W STATE ROUTE 163, OAK HARBOR, OH 43449-9401
(419) 898-6633
(419) 898-9909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15902
OH
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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