| Brian Bonczek Dmd Llc | |
|
3392 Saxonburg Blvd Ste 440 Glenshaw PA 15116-3148 | |
| (412) 767-4403 | |
| Not Available |
| Full Name | Brian Bonczek Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3392 Saxonburg Blvd Ste 440, Glenshaw, Pennsylvania |
| Authorized Official Name and Position | Brian Bonczek (DENTIST) |
| Authorized Official Contact | 4129139550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bonczek Dmd Llc 1332 Pocono St Pittsburgh PA 15218-1114 Ph: (412) 913-9550 | Brian Bonczek Dmd Llc 3392 Saxonburg Blvd Ste 440 Glenshaw PA 15116-3148 Ph: (412) 767-4403 |
| NPI Number | 1336788389 |
|---|---|
| Provider Enumeration Date | 12/22/2019 |
| Last Update Date | 12/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336788389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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