Organization · Type 2 NPI
Bushong Dental, PLLC
Dental Clinic/Center · San Antonio, TX
NPI number
1750977914
Active
Practice location
4 Dominion Dr # 250
San Antonio, TX 78257-1390
Mailing address
14806 Circle J Trl
Helotes, TX 78023-3829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1750977914
Bushong Dental, PLLC's National Provider Identifier is 1750977914, issued on Dec 11, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Antonio, TX. The record was last updated on Dec 11, 2020.