| NPI | 1205056983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL C BEDOYA Dentist 520-320-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2061) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |