Organization
B&P DENTAL ENTITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIN BEDNARSKI DMD (OWNER)
(512) 444-4867
Entity
Organization
Contact information
Practice address
1901 W WILLIAM CANNON DR STE 143, AUSTIN, TX 78745-5327
(512) 444-4867
Mailing address
1901 W WILLIAM CANNON DR STE 143, AUSTIN, TX 78745-5327
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32051
TEXAS DENTAL BOARD
TX
Enumeration date
08/31/2016
Last updated
08/31/2016
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