MRS. Teresa Bushnell

NPI #1114315678 in Minneapolis, Minnesota

Provider Information

NPI Number: 1114315678
Entity Type: Individual
Name: MRS. Teresa Bushnell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Therapist
Enumeration Date: Jan 6, 2015
Last Updated: Mar 17, 2018

Practice Location

Address: 636 BROADWAY ST NE
City: Minneapolis
State: Minnesota
ZIP Code: 55413-2164
Phone: (612) 746-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X	Primary

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