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Provider Information for 1295934586

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOSE ANTONIO BUSHDID D.M.D.

Gender: MALE

Individual NPI: 1295934586

Calendar   Last Updated:  2007-07-16
  Certification Date: 

Details

Name Value
NPI 1295934586
Enumeration Date 2007-07-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3005 SALZEDO ST
CORAL GABLES, FL 33134-6711
United States

Phone: 305-444-5926 | Fax: 305-444-7724
View Map External Link
Primary Practice Address 3005 SALZEDO ST
CORAL GABLES, FL 33134-6711
United States

Phone: 305-444-5926 | Fax: 305-444-7724
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN15001