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1447302096
ROOSEVELT BUSH
BALTIMORE, MD
NPI
1447302096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 4090)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- ROOSEVELT BUSH DDS MPH
1111 PARK AVENUE
BALTIMORE, MD 21201-5656
Phone number: 410-383-1800
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Mailing Address
-- ROOSEVELT BUSH DDS MPH
1111 PARK AVENUE SUITE L9
BALTIMORE, MD 21201-5656
Phone number: 410-383-1800
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