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Individual

DR. JOSHUA BUSSARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3785 CARPENTER RD, YPSILANTI, MI 48197-9809
(734) 272-4527
Mailing address
3785 CARPENTER RD, YPSILANTI, MI 48197-9809
(734) 272-4527

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12013573A
IN
1223G0001X
General Practice Dentistry
Primary
2901601193
MI
390200000X
Student in an Organized Health Care Education/Training Program
HI

Other

Enumeration date
04/14/2020
Last updated
02/25/2022
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