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1205554995
DERRICK JAMES BUSH
HENDERSON, NV
NPI
1205554995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 7646)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
DERRICK JAMES BUSH DMD
4 SUNSET WAY UNIT C
HENDERSON, NV 89014
Phone number: 702-376-9455
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Mailing Address
DERRICK JAMES BUSH DMD
6524 CORONADO CANYON AVE
LAS VEGAS, NV 89142-2878
Phone number: 702-376-9455
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