| B&p Dental Entities Llc | |
|
1901 W William Cannon Dr Ste 143 Austin TX 78745-5327 | |
| (512) 444-4867 | |
| Not Available |
| Full Name | B&p Dental Entities Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1901 W William Cannon Dr Ste 143, Austin, Texas |
| Authorized Official Name and Position | Marcin Bednarski (OWNER) |
| Authorized Official Contact | 5124444867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B&p Dental Entities Llc 1901 W William Cannon Dr Ste 143 Austin TX 78745-5327 Ph: () - | B&p Dental Entities Llc 1901 W William Cannon Dr Ste 143 Austin TX 78745-5327 Ph: (512) 444-4867 |
| NPI Number | 1578019329 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578019329 | NPI | - | NPPES |
| 32051 | Other | TX | TEXAS DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32051 (Texas) | Primary |
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