Organization
BRIAN BONCZEK DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BONCZEK DMD (DENTIST)
(412) 913-9550
Entity
Organization
Contact information
Practice address
3392 SAXONBURG BLVD STE 440, GLENSHAW, PA 15116-3148
(412) 767-4403
Mailing address
1332 POCONO ST, PITTSBURGH, PA 15218-1114
(412) 913-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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