Organization
BRENT R. BUSH, DDS & KAREN D. BUSH, DDS, PLLC
Active
Other names
Bush Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN D. BUSH DDS (OWNER)
(910) 313-1511
Entity
Organization
Contact information
Practice address
1717 SHIPYARD BLVD, STE 120, WILMINGTON, NC 28403-8019
(910) 313-1511
(910) 313-2520
Mailing address
1717 SHIPYARD BLVD, STE 120, WILMINGTON, NC 28403-8019
(910) 313-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6805
NC
1223G0001X
General Practice Dentistry
6905
NC
Other
Enumeration date
08/31/2006
Last updated
04/06/2017
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