Organization
EDMONDBEDROSSIAN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND BEDROSSIAN DDS (PRESIDENT)
(415) 956-6610
Entity
Organization
Contact information
Practice address
450 SUTTER ST, SUITE 2439, SAN FRANCISCO, CA 94108-4206
(415) 956-6610
(415) 956-6618
Mailing address
450 SUTTER ST, SUITE 2439, SAN FRANCISCO, CA 94108-4206
(415) 956-6610
(415) 956-6618
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655657
UNITED CONCORDIA
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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