Organization
BEZEK FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROBERT BEZEK MDM (OWNER)
(320) 252-1085
Entity
Organization
Contact information
Practice address
1026 4TH ST SE STE 200, SAINT CLOUD, MN 56304-1371
(320) 252-1085
Mailing address
1026 4TH ST SE STE 200, SAINT CLOUD, MN 56304-1371
(320) 252-1085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
06/14/2021
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