Individual
DR. MARY A BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3435 MAIN ST, SQUIRE HALL, BUFFALO, NY 14214-3001
(716) 829-3561
(716) 829-3006
Mailing address
4473 HARRIS HILL RD, BUFFALO, NY 14221-6205
(716) 829-3561
(716) 829-3006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048307-1
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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