Individual provider · Type 1 NPI
Tad Wylie Burzynski, L.D., R.D.H.
Denturist · Bend, OR
NPI number
1083825962
Active
Practice location
853 NE 4th St
Bend, OR 97701-4709
Fax (541) 322-0557
Mailing address
853 NE 4th St.
Bend, OR 97701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DT-DO 557317 (OR) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Another provider at this address
Other denturist providers in Bend
About NPI 1083825962
Tad Wylie Burzynski, L.D., R.D.H.'s National Provider Identifier is 1083825962, issued on May 24, 2007. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Bend, OR. The record was last updated on Jul 8, 2007.