Individual
JOSHUA STEVEN BEDNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
3833 COON RAPIDS BLVD NW STE 220, COON RAPIDS, MN 55433-2597
(763) 421-6271
Mailing address
3867 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 586-0070
(763) 586-0072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13381
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13381
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
64379
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13381
MN
Other
Enumeration date
05/01/2014
Last updated
07/27/2020
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