Individual
KRUTTIKA S BHUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
5250 BROWNWAY ST APT 1412, HOUSTON, TX 77056-4937
(512) 939-2540
Mailing address
5250 BROWNWAY ST APT 1412, HOUSTON, TX 77056-4937
(512) 939-2540
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
39213
TX
390200000X
Student in an Organized Health Care Education/Training Program
12423
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2019
Last updated
12/06/2022
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