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1396117313
BEDFORD PEDIATRIC DENTISTRY, L.L.C.
BEDFORD, IN
NPI
1396117313
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Entity Type
Organization
Authorized Contact
KYLE WAYNE TAYLOR
Pediatric Dentist
812-355-0855
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
BEDFORD PEDIATRIC DENTISTRY, L.L.C.
1618 25TH ST
BEDFORD, IN 47421-5000
Phone number: 812-355-0855
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Mailing Address
BEDFORD PEDIATRIC DENTISTRY, L.L.C.
1618 25TH ST
BEDFORD, IN 47421-5000
Phone number: 812-355-0855
Copy
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