Robert Busan Dds, Pllc

NPI #1932666922 in Rockford, Illinois

Provider Information

NPI Number
1932666922
Entity Type
Organization
Organization Name
Robert Busan Dds, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 26, 2019
Last Updated
Aug 26, 2020

Practice Location

Address
4035 MORSAY DR STE 1
ZIP Code
61107-4875
Phone
(815) 398-1376

Authorized Official

Name
DR. BOGDAN ROBERT BUSAN, DDS
Title
OWNER
Phone
(949) 285-3147

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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