Organization
L BRENT BITNER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT BITNER DDS (PRESIDENT)
54194227934
Entity
Organization
Contact information
Practice address
335 S PACIFIC HWY, COTTAGE GROVE, OR 97424-2137
(541) 942-7934
Mailing address
PO BOX 1231, COTTAGE GROVE, OR 97424-0056
(541) 942-7934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7506
OR
Other
Enumeration date
10/28/2006
Last updated
08/22/2020
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