William J Busacca Dds, Ps
NPI #1043592397 in Shelton, Washington
Provider Information
- NPI Number
- 1043592397
- Entity Type
- Organization
- Organization Name
- William J Busacca Dds, Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 13, 2011
- Last Updated
- Sep 13, 2011
Practice Location
- Address
- 1525 OLYMPIC HWY N
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-3049
- Phone
- (360) 426-9711
Authorized Official
- Name
- MRS. LEAH R HENDRICKSON
- Title
- OFFICE MANAGER
- Phone
- (360) 426-9711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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