Organization
BUSH, DR. P.A.
Active
Other names
Perfect Smile Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MARIA BUSH (OWNER)
(813) 948-6335
Entity
Organization
Contact information
Practice address
24632 STATE ROAD 54, LUTZ, FL 33559-7307
(813) 948-6335
(813) 948-6394
Mailing address
24632 STATE ROAD 54, LUTZ, FL 33559-7307
(813) 948-6335
(813) 948-6394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14833
FL
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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