NPI 1104465525

Andrew Kyle Burzynski, LD

Practitioner Denturist Bend, OR

Practice location

Address: 853 NE 4th St., Bend, OR 97701
Phone: (541) 389-7485

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10190716 (OR)

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Registry record

NPI: 1104465525
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2020
Record last updated: 2 Jan 2020

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.