MRS. TERESA BUSHNELL
Dental Therapist
Active
Individual
NPI: 1114315678
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | Yes | DT33 (MN) |
Frequently Asked Questions
NPI 1114315678 is the National Provider Identifier for MRS. TERESA BUSHNELL, a Dental Therapist provider located in Minneapolis, MN. This NPI was enumerated on January 6, 2015.
MRS. TERESA BUSHNELL practices at 636 BROADWAY ST NE, Minneapolis, MN 55413.
Quick Facts
- NPI
- 1114315678
- Type
- Individual
- Enumerated
- Jan 6, 2015
- Last Updated
- Mar 17, 2018
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