Individual
DR. KRISTA LYNN BORTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
31100 TELEGRAPH RD STE 120, BINGHAM FARMS, MI 48025-4364
(248) 540-9191
(248) 540-9194
Mailing address
31100 TELEGRAPH RD STE 120, BINGHAM FARMS, MI 48025-4364
(248) 540-9191
(248) 540-9194
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901017183
MI
Other
Enumeration date
09/25/2006
Last updated
04/04/2013
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