Individual
JONN C BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11301 5TH AVE NE, SEATTLE, WA 98125-6152
(206) 367-2011
(206) 367-2050
Mailing address
11333 N DOGWOOD LN, WOODWAY, WA 98020-6118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WA5396
WA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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