Bogdan Robert Busan, DDS

NPI #1285951004 in Rockford, Illinois

Provider Information

NPI Number: 1285951004
Entity Type: Individual
Name: Bogdan Robert Busan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2010
Last Updated: Apr 30, 2024

Practice Location

Address: 4035 MORSAY DR STE 1
City: Rockford
State: Illinois
ZIP Code: 61107-4875
Phone: (815) 398-1376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist	122300000X	Primary

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