Individual
EMILY IRENE BUSHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
56720 CALUMET AVE, CALUMET, MI 49913-1967
(906) 483-1177
Mailing address
536 FLORIDA ST, LAURIUM, MI 49913-2208
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018455
MI
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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