| NPI | 1326887902 |
|---|---|
| Former Legal Business Name | BETHANY T. BENIEK, DMD, PLLC |
| Entity Type | Organization |
| Authorized Contact | BETHANY WIERZBICKI Dentist 320-309-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |