TAD WYLIE BURZYNSKI

BEND, OR
NPI1083825962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO 557317)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mr. TAD WYLIE BURZYNSKI L.D., R.D.H.
853 NE 4TH ST
BEND, OR 97701-4709
Phone number: 541-389-7485
Mailing Address
Mr. TAD WYLIE BURZYNSKI L.D., R.D.H.
853 NE 4TH ST.
BEND, OR 97701
Phone number: 541-389-7485
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