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Organization

JAMES A. BEDOR, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL L MCINTYRE (PRACTICE MANAGER)
(248) 698-8330
Entity
Organization

Contact information

Practice address
95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
(248) 698-8330
(248) 698-8333
Mailing address
95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
(248) 698-8330
(248) 698-8333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1722904
MI
01
J801327
BCBS
MI
Enumeration date
04/14/2008
Last updated
04/14/2008
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