| Bezek Family Dentistry LLC | |
|
1026 4th St Se Ste 200 Saint Cloud MN 56304-1371 | |
| (320) 252-1085 | |
| Not Available |
| Full Name | Bezek Family Dentistry LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1026 4th St Se Ste 200, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Andrew Robert Bezek (OWNER) |
| Authorized Official Contact | 3202521085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bezek Family Dentistry LLC 1026 4th St Se Ste 200 Saint Cloud MN 56304-1371 Ph: (320) 252-1085 | Bezek Family Dentistry LLC 1026 4th St Se Ste 200 Saint Cloud MN 56304-1371 Ph: (320) 252-1085 |
| NPI Number | 1588294110 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588294110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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