LOUIS R BUSH

EDGEWOOD, NM
NPI1134103211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD2580)
Enumeration Date2005-12-02
Last Update Date2009-04-10
Business Address
-- LOUIS R BUSH DDS
8 MEDICAL CENTER RD
EDGEWOOD, NM 87015-7086
Phone number: 505-873-7405
Mailing Address
-- LOUIS R BUSH DDS
2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105-4592
Phone number: 505-873-7405