Provider Demographics
NPI:1710430731
Name:CATHERINE BOENITZ, DDS, PLLC
Entity Type:Organization
Organization Name:CATHERINE BOENITZ, DDS, PLLC
Other - Org Name:BEE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:COX
Authorized Official - Last Name:BOENITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-431-9792
Mailing Address - Street 1:8647 WURZBACH RD
Mailing Address - Street 2:BLDG. A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1225
Mailing Address - Country:US
Mailing Address - Phone:210-690-9430
Mailing Address - Fax:210-690-2919
Practice Address - Street 1:8647 WURZBACH RD
Practice Address - Street 2:BLDG. A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1225
Practice Address - Country:US
Practice Address - Phone:210-690-9430
Practice Address - Fax:210-690-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX270441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty