| NPI | 1114038429 |
|---|---|
| Doing Business As | BUSH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAREN D. BUSH Owner 910-313-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6805) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6905) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-06 |