Organization
DR WALTER B BUSSE &ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER BERGE BUSSE DDS (PRESIDENT)
(708) 331-2322
Entity
Organization
Contact information
Practice address
536 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
(708) 331-2322
Mailing address
536 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
(708) 331-2322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019014809
IL
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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