Individual
DR. TERRY WILLIAM BUSHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 PARK DR, STE D, HOLIDAY ISLAND, AR 72631-9216
(479) 253-2262
(479) 253-2288
Mailing address
1 PARK DR, STE D, HOLIDAY ISLAND, AR 72631-9216
(479) 253-2262
(479) 253-2288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3071
AR
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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