Organization
BEDFORD FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BREVARD BEDFORD JR. DDS (PRESIDENT DENTIST)
(830) 625-7757
Entity
Organization
Contact information
Practice address
831 LANDA ST, STE D, NEW BRAUNFELS, TX 78130
(830) 625-7757
(830) 625-7767
Mailing address
831 LANDA ST, STE D, NEW BRAUNFELS, TX 78130
(830) 625-7757
(830) 625-7767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19889
TX
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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