Louis R Bush, DDS
NPI #1134103211 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1134103211
- Entity Type
- Individual
- Name
- Louis R Bush, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 2, 2005
- Last Updated
- Apr 10, 2009
Practice Location
- Address
- 8 MEDICAL CENTER RD
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-7086
- Phone
- (505) 873-7405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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