Individual
JEAN HELEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 E LOHMAN, STE 121, LAS CRUCES, NM 88001
(505) 526-4334
(505) 526-7863
Mailing address
2001 E LOHMAN, STE 121, LAS CRUCES, NM 88001
(505) 526-4334
(505) 526-7863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
42561
CA
1223G0001X
General Practice Dentistry
Primary
DD2901
NM
Other
Enumeration date
07/10/2006
Last updated
10/27/2007
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