Organization
PARKDALE DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON J BUSHONG DDS (DENTIST/OWNER)
(715) 573-3546
Entity
Organization
Contact information
Practice address
5764 WINDY DR, STEVENS POINT, WI 54482-8486
(715) 341-2220
Mailing address
5764 WINDY DR, STEVENS POINT, WI 54482-8486
(715) 341-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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