Derrick James Bush, DMD

NPI #1205554995 in Henderson, Nevada

Provider Information

NPI Number: 1205554995
Entity Type: Individual
Name: Derrick James Bush, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 4 SUNSET WAY
Address 2: UNIT C
City: Henderson
State: Nevada
ZIP Code: 89014
Phone: (702) 376-9455

Specialties & Taxonomy Codes

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

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