Ebenezer Bush, a Professional Corporation
NPI #1780839639 in Compton, California
Provider Information
- NPI Number
- 1780839639
- Entity Type
- Organization
- Organization Name
- Ebenezer Bush, a Professional Corporation
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
- Address
- 609 S LONG BEACH BLVD
- City
- Compton
- State
- California
- ZIP Code
- 90221-4026
- Phone
- (310) 638-1122
Authorized Official
- Name
- DR. EBENEZER BUSH JR., DDS
- Title
- OWNER
- Phone
- (310) 638-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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