Organization
BUSH DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RIPP (MANAGER)
(308) 236-9694
Entity
Organization
Contact information
Practice address
4112 6TH AVE, KEARNEY, NE 68845-3395
(308) 236-9694
Mailing address
4112 6TH AVE, KEARNEY, NE 68845-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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