Individual
CHRISTINA VICTORIA CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
SAN JUAN VW, SAN JUAN, PR 00924-2350
(787) 555-5555
Mailing address
SAN JUAN VW, SAN JUAN, PR 00924-2350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3452
PR
Other
Enumeration date
08/09/2013
Last updated
03/01/2023
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