Individual
ANDREW BEZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1026 4TH ST SE STE 200, SAINT CLOUD, MN 56304-1371
(132) 025-2108
Mailing address
1026 4TH ST SE STE 200, SAINT CLOUD, MN 56304-1371
(132) 025-2108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14074
MN
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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