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Organization
ROBERT BUSAN DDS, PLLC
Active
Organization
ROBERT BUSAN DDS, PLLC
Active
Other names
Advanced Periodontics and Implant Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOGDAN ROBERT BUSAN DDS (OWNER)
(949) 285-3147
Entity
Organization
Contact information
Practice address
4035 MORSAY DR STE 1, ROCKFORD, IL 61107-4875
(815) 398-1376
Mailing address
4035 MORSAY DR STE 1, ROCKFORD, IL 61107-4875
(815) 398-1376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
08/26/2020
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