person
Mr. Tad Wylie Burzynski, LD,RDH
Denturist in Bend, Oregon
NPI 1083825962

Tad Wylie Burzynski is a Denturist based in Bend, OR. Tad Wylie Burzynski practices in Bend, OR and has the professional credentials of LD,RDH. The NPI Number for Tad Wylie Burzynski is 1083825962 and holds a License No. DT-DO 557317 (Oregon).

The current practice location address for Tad Wylie Burzynski is 853 Ne 4Th St, Bend, OR and can be reached out via phone at 541-389-7485 and via fax at 541-322-0557.

Location: 853 Ne 4Th St, Bend, OR, 97701
person
Provider Profile Details
NPI Number
1083825962
Provider Name
Tad Wylie Burzynski
Credential
LD,RDH
Provider Entity Type
Individual
Gender
Male
Address
853 Ne 4Th St, Bend, OR, 97701
Phone Number
541-389-7485
Fax Number
541-322-0557
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
853 Ne 4Th St
City
State
Zip
97701-4709
Phone Number
541-389-7485
Fax Number
541-322-0557
person
Provider Business Mailing Address Details
Address
853 Ne 4Th St
City
State
Zip
97701-4709
Phone Number
541-389-7485
Fax Number
541-322-0557
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DT-DO 557317 (Oregon)
Definition
Definition to come.
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