Ryan Bushman Dmd & Chase Davis DDS Pllc

NPI #1679213375 in Medical Lake, Washington

Provider Information

NPI Number: 1679213375
Entity Type: Organization
Organization Name: Ryan Bushman Dmd & Chase Davis DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2022
Last Updated: Apr 18, 2022

Practice Location

Address: 123 N BROWER ST
City: Medical Lake
State: Washington
ZIP Code: 99022-5109
Phone: (509) 299-5171

Authorized Official

Name: ASHLIE RIVERSON
Title: BILLING CREDENTIALING MANAGER
Phone: (509) 924-0381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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