Organization
ORTHODONTIC CARE OF WA
Active
Other names
Orthodontic care of GA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR MARTIN BUSH D.M.D (OWNER)
(678) 432-8508
Entity
Organization
Contact information
Practice address
2520 S 38TH ST, STE A, TACOMA, WA 98409
(253) 343-9133
(253) 343-9135
Mailing address
2520 S 38TH ST, STE A, TACOMA, WA 98409
(253) 343-9133
(253) 343-9135
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011309
GA
Other
Enumeration date
01/18/2007
Last updated
01/14/2020
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