Individual
BUSHRA PARVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 TERRY RICH BLVD, SAINT CLAIR, PA 17970-1193
(570) 260-1331
Mailing address
412 ROSS ST, COUDERSPORT, PA 16915-1655
(617) 777-9816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043557
PA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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