Ellory Abbott Busch, DDS

NPI #1669006227 in Hillsboro, Oregon

Provider Information

NPI Number
1669006227
Entity Type
Individual
Name
Ellory Abbott Busch, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 23, 2020
Last Updated
Sep 23, 2021

Practice Location

Address
10690 NE CORNELL RD STE 220
State
Oregon
ZIP Code
97124-9224
Phone
(503) 848-5861

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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