Individual
DR. MICHAEL S BUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N16W24132 PRAIRIE CT, SUITE 150, WAUKESHA, WI 53188-1178
(262) 522-7447
(262) 522-7448
Mailing address
N16W24132 PRAIRIE CT, SUITE 150, WAUKESHA, WI 53188-1178
(262) 522-7447
(262) 522-7448
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4015
WI
Other
Enumeration date
04/19/2006
Last updated
10/22/2009
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