Individual
MS. NICHOLE ELIZABETH BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
12987 RIDGE RD W, ALBION, NY 14411-9152
(585) 746-4677
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355308
—
NY
Enumeration date
06/08/2007
Last updated
07/08/2007
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