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Individual
DR. RYAN BUSHMAN
Active
Individual
DR. RYAN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60855064
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153536142
AMERICAN DENTAL ASSOCIATION
—
05
—
2102572
—
WA
01
—
DE60855064
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/04/2018
Last updated
09/26/2019
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