Individual
DR. BRAD DOUGLAS BEKKEDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2204 2ND AVE W, SUITE 102, WILLISTON, ND 58801-3485
(701) 774-3333
(701) 572-8504
Mailing address
2204 2ND AVE W, SUITE 102, WILLISTON, ND 58801-3485
(701) 774-3333
(701) 572-8504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1726
ND
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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