Organization
B&P DENTAL VENTURES PLLC
Active
Other names
Vida Dental Central
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIN BEDNARSKI DMD (OWNER)
(512) 454-5825
Entity
Organization
Contact information
Practice address
711 W 38TH ST STE B10, AUSTIN, TX 78705-1135
(512) 454-5825
Mailing address
711 W 38TH ST STE B10, AUSTIN, TX 78705-1135
(512) 454-5825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32051
TEXAS DENTAL LICENSE
TX
05
—
363097201
—
TX
Enumeration date
07/10/2017
Last updated
07/21/2022
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