Individual
JACQUELINE COLLEEN BUSCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4 CHENANGO ST, CAZENOVIA, NY 13035-1400
(570) 735-8754
Mailing address
603 HAMILTON PKWY, SYRACUSE, NY 13214-2312
(773) 320-9352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060956
NY
Other
Enumeration date
10/02/2018
Last updated
06/02/2020
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