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Individual
DR. JOSHUA BUSSARD
Active
Individual
DR. JOSHUA BUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013573A
IN
1223G0001X
General Practice Dentistry
Primary
2901601193
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
HI
Other
Enumeration date
04/14/2020
Last updated
02/25/2022
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