| NPI | 1912083205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT BITNER President 5419-422-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d7506) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |