Benjamin David Bushnell

NPI #1336288455 in Lakeside, Montana

Provider Information

NPI Number: 1336288455
Entity Type: Individual
Name: Benjamin David Bushnell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 150 BILLS RD
City: Lakeside
State: Montana
ZIP Code: 59922
Phone: (406) 844-3825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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