Bush, Dr. P.a.

NPI #1114136256 in Lutz, Florida

Provider Information

NPI Number: 1114136256
Entity Type: Organization
Organization Name: Bush, Dr. P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 24632 STATE ROAD 54
City: Lutz
State: Florida
ZIP Code: 33559-7307
Phone: (813) 948-6335

Authorized Official

Name: ANA MARIA BUSH
Title: OWNER
Phone: (813) 948-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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