# KUSHION DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861806143
- **Authorized official:** DR. ERIC KUSHION (DDS)
- **Authorized official phone:** (989) 245-9669

## Contact information

- **Practice address:** 305 SUPERIOR AVE, CRYSTAL FALLS, MI 49920-1426
- **Practice address phone:** (906) 875-6301
- **Mailing address:** 1858 LAKE CIRCLE DR W, SAGINAW, MI 48609-9452
- **Mailing address phone:** (989) 245-9669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901021279 | MI | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014
