Individual
MS. LYNDA H BUSDOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG 171, 4TH AND INNER LOOP RD, FORT IRWIN DENTAL CLINIC COMMAND, FORT IRWIN, CA 92310-5076
(760) 380-4990
(760) 380-4996
Mailing address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT, FORT CARSON, CO 80913
(719) 526-5537
(719) 524-2843
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 14692
CA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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