# DACIANA BUSE DDS, MSD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NW Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396290094
- **Authorized official:** TATE TODOROVIC (OFFICE MANAGER)
- **Authorized official phone:** (425) 883-2933

## Contact information

- **Practice address:** 15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
- **Practice address phone:** (425) 883-2933
- **Practice address fax:** (425) 885-0146
- **Mailing address:** 15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
- **Mailing address phone:** (425) 883-2933
- **Mailing address fax:** (425) 885-0146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010705 | WA | Yes |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 08/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285718700 | NPI | WA |
| 01 | — | 1578795704 | NPI | WA |