Bradly Robert Bush, DMD

NPI #1033219712 in Saint Louis, Missouri

Provider Information

NPI Number: 1033219712
Entity Type: Individual
Name: Bradly Robert Bush, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 23, 2006
Last Updated: Sep 2, 2016

Practice Location

Address: 1500 PARK AVENUE
City: Saint Louis
State: Missouri
ZIP Code: 63104-3024
Phone: (314) 898-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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