Individual
DR. LEIGH R BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9 PETTIT DR, DIX HILLS, NY 11746-5921
(631) 549-4945
Mailing address
9 PETTIT DR, DIX HILLS, NY 11746-5921
(631) 549-4945
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
030097
NY
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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