Individual
ROGER A BUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1260 PLAINVIEW RD BOX 53, PLAIN, WI 53577
(608) 546-4441
(608) 546-4441
Mailing address
1260 PLAINVIEW RD BOX 53, PLAIN, WI 53577
(608) 546-4441
(608) 546-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000882015
WI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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