Individual
AHMEDI BUSHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8 W BROOKHAVEN RD, BROOKHAVEN, PA 19015-2337
(610) 872-7200
Mailing address
755 MONTCLAIR DR APT 6, CLAYMONT, DE 19703-3638
(773) 704-7368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044690
PA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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