Marvin Thomas Bush, DMD

NPI #1417977372 in Pikeville, Kentucky

Provider Information

NPI Number
1417977372
Entity Type
Individual
Name
Marvin Thomas Bush, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1098 S MAYO TRL
Address 2
SUITE 103
ZIP Code
41501-1546
Phone
(606) 478-2413

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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