Provider Demographics
NPI:1689056764
Name:BEDAIR, DALIA (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DALIA
Middle Name:
Last Name:BEDAIR
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9416 ROAD 238
Mailing Address - Street 2:
Mailing Address - City:TERRA BELLA
Mailing Address - State:CA
Mailing Address - Zip Code:93270-9416
Mailing Address - Country:US
Mailing Address - Phone:877-960-3426
Mailing Address - Fax:
Practice Address - Street 1:9416 ROAD 238
Practice Address - Street 2:
Practice Address - City:TERRA BELLA
Practice Address - State:CA
Practice Address - Zip Code:93270-9416
Practice Address - Country:US
Practice Address - Phone:877-960-3426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist