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1336404078
BRANDON BUSHONG
DETROIT, MI
NPI
1336404078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2012015439)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- BRANDON BUSHONG D.D.S.
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6660
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Mailing Address
-- BRANDON BUSHONG D.D.S.
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6660
Copy
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