Search › Maryland › 122300000X
Roosevelt Bush, DDS MPH
NPI 1447302096 · on the registry since 2007
Practice
- Address
- 1111 Park Avenue
Baltimore, MD 21201 - Phone
- (410) 383-1800
- Fax
- (410) 772-5782
- Organisation at this address
- Createwellness Llc
Thought Evolution Llc.
Change Reaction Baltimore
Maryland General Hospital
Lisa M. Valentine, D.D.S LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland