Individual
KELSEY ANNE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1529
(617) 636-6889
Mailing address
99 KNEELAND ST APT 507, BOSTON, MA 02111-2435
(267) 566-1065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000988
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/29/2025
Last updated
07/02/2025
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