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Ebenezer Bush, A Professional Corporation
Oral and Maxillofacial Surgery (Dentist) in Compton, California
NPI 1780839639

Ebenezer Bush, A Professional Corporation is a Oral and Maxillofacial Surgery (Dentist) based in Compton, CA and is specialized in Oral and Maxillofacial Surgery. Ebenezer Bush, A Professional Corporation practices in Compton, CA. The NPI Number for Ebenezer Bush, A Professional Corporation is 1780839639 and holds a License No. 12355 (California).

The current practice location address for Ebenezer Bush, A Professional Corporation is 609 S Long Beach Blvd, Compton, CA and can be reached out via phone at 310-638-1122 and via fax at 310-638-7565.

Location: 609 S Long Beach Blvd, Compton, CA, 90221-4026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780839639
Provider Name
Ebenezer Bush, A Professional Corporation
Credential
Provider Entity Type
Organization
Address
609 S Long Beach Blvd, Compton, CA, 90221-4026
Phone Number
310-638-1122
Fax Number
310-638-7565
Provider Enumeration Date
11/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B1235501 05 CA
institution
Provider Business Practice Location Address Details
Address
609 S Long Beach Blvd
City
Compton
State
California
Zip
90221-4026
Phone Number
310-638-1122
Fax Number
310-638-7565
person
Provider Business Mailing Address Details
Address
609 S Long Beach Blvd
City
Compton
State
California
Zip
90221-4026
Phone Number
310-638-1122
Fax Number
310-638-7565
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12355 (California)
Definition
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.
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