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Individual

NAKIA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
11479 BERRY RD, WALDORF, MD 20603-5957
(202) 425-9618
Mailing address
10403 LIBATION CT, CLINTON, MD 20735-3800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14368
MD

Other

Enumeration date
03/29/2010
Last updated
11/18/2013
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