# DR WALTER B BUSSE &ASSOCIATES LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154578698
- **Authorized official:** DR. WALTER BERGE BUSSE DDS (PRESIDENT)
- **Authorized official phone:** (708) 331-2322

## Contact information

- **Practice address:** 536 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
- **Practice address phone:** (708) 331-2322
- **Mailing address:** 536 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
- **Mailing address phone:** (708) 331-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019014809 | IL | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008