| NPI | 1780839639 |
|---|---|
| Other Name | EBENEZER BUSH, DDS |
| Entity Type | Organization |
| Authorized Contact | EBENEZER BUSH Owner 310-638-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 12355) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |