Organization
BORTNEM ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BORTNEM DMD, MS (OWNER, ORTHODONTIST)
(605) 999-1619
Entity
Organization
Contact information
Practice address
9005 VISTA WAY, BENBROOK, TX 76126-2450
(682) 900-9500
Mailing address
9005 VISTA WAY, BENBROOK, TX 76126-2450
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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