Organization
BEDFORD COSMETIC & RESTORATIVE DENTISTRY LLC
Active
Other names
J Joseph Hedstrom DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JAY JOSEPH HEDSTROM DDS (DDS OWNER)
(603) 472-3667
Entity
Organization
Contact information
Practice address
360 ROUTE 101, UNIT 12A, BEDFORD, NH 03110-5031
(603) 472-3667
(603) 472-4758
Mailing address
360 ROUTE 101, UNIT 12A, BEDFORD, NH 03110-5031
(603) 472-3667
(603) 472-4758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2215
NH
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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