Individual
SUNANDA BHUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 148, HAGERSTOWN, MD 21742-6755
(240) 313-9660
Mailing address
18610 BROKEN OAK RD, BOYDS, MD 20841-4214
(240) 271-2476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411096
VA
1223G0001X
General Practice Dentistry
Primary
13693
MD
Other
Enumeration date
02/12/2007
Last updated
02/11/2021
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