# BEDFORD FAMILY DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538271994
- **Authorized official:** DR. DONALD BREVARD BEDFORD JR. DDS (PRESIDENT DENTIST)
- **Authorized official phone:** (830) 625-7757

## Contact information

- **Practice address:** 831 LANDA ST, STE D, NEW BRAUNFELS, TX 78130
- **Practice address phone:** (830) 625-7757
- **Practice address fax:** (830) 625-7767
- **Mailing address:** 831 LANDA ST, STE D, NEW BRAUNFELS, TX 78130
- **Mailing address phone:** (830) 625-7757
- **Mailing address fax:** (830) 625-7767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19889 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020
