NPI 1083825962

Tad Wylie Burzynski, LDRDH

Practitioner Denturist Bend, OR

Practice location

Address: 853 NE 4th St, Bend, OR 97701-4709
Phone: (541) 389-7485
Fax: (541) 322-0557
Mailing address: 853 NE 4th St., Bend, OR 97701

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO 557317 (OR)

Other Denturist providers in Oregon →

Registry record

NPI: 1083825962
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.