NPI | 1548534415 |
---|---|
Former Legal Business Name | MICHAEL E. BUSHEY, D.D.S., INC. |
Entity Type | Organization |
Authorized Contact | MICHAEL EDMOND BUSHEY Chairman 330-758-0561 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 14271) |
Enumeration Date | 2012-02-24 |
Last Update Date | 2014-04-07 |