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Organization

DACIANA BUSE DDS, MSD, PLLC

Active
Other names
NW Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TATE TODOROVIC (OFFICE MANAGER)
(425) 883-2933
Entity
Organization

Contact information

Practice address
15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146
Mailing address
15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010705
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285718700
NPI
WA
01
1578795704
NPI
WA
Enumeration date
08/23/2016
Last updated
08/23/2016
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