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Individual
DR. BRETT J BEZAK
Active
Individual
DR. BRETT J BEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60670
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13139
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/22/2012
Last updated
05/25/2017
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