Provider Demographics
NPI:1487042933
Name:BEC DENTAL, PA
Entity Type:Organization
Organization Name:BEC DENTAL, PA
Other - Org Name:ALAMO ORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IOAN
Authorized Official - Middle Name:PETRU
Authorized Official - Last Name:BEC
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-691-1211
Mailing Address - Street 1:8647 WURZBACH RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1245
Mailing Address - Country:US
Mailing Address - Phone:210-691-1211
Mailing Address - Fax:210-697-0829
Practice Address - Street 1:8647 WURZBACH RD BLDG B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1245
Practice Address - Country:US
Practice Address - Phone:210-691-1211
Practice Address - Fax:210-697-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty