Individual
JENNIFER BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
230 EVERETT AVE, WYCKOFF, NJ 07481-1943
(201) 891-8474
(201) 848-1499
Mailing address
230 EVERETT AVE, WYCKOFF, NJ 07481-1943
(201) 891-8474
(201) 848-1499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI019142
NJ
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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