DR. Russell Bortnem JR., DDS

NPI #1023106630 in Kingwood, Texas

Provider Information

NPI Number
1023106630
Entity Type
Individual
Name
DR. Russell Bortnem JR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 10, 2006
Last Updated
Mar 18, 2013

Practice Location

Address
3923 RUSTIC WOODS DR
Address 2
SUITE A
State
Texas
ZIP Code
77339-2611
Phone
(281) 360-8400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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