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Individual

DR. WALTER BERGE BUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
536 E 162ND STREET, SOUTH HOLLAND, IL 60473
(708) 331-2322
(708) 596-3128
Mailing address
536 E 162ND STREET, SOUTH HOLLAND, IL 60473
(708) 331-2322
(708) 596-3128

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
IL

Other

Enumeration date
09/08/2006
Last updated
07/08/2007
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