Organization · Type 2 NPI
Ebenezer Bush, A Professional Corporation
Oral and Maxillofacial Surgery (Dentist) · Compton, CA
NPI number
1780839639
Active
Practice location
609 S Long Beach Blvd
Compton, CA 90221-4026
Fax (310) 638-7565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12355 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1780839639
Ebenezer Bush, A Professional Corporation's National Provider Identifier is 1780839639, issued on Nov 19, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Compton, CA. The record was last updated on Nov 19, 2008.