Individual
DAVID JONATHAN BUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
820 1ST STREET, LIMON, CO 80828-1120
(719) 775-2367
(719) 775-2365
Mailing address
820 1ST STREET, P O BOX 1120, LIMON, CO 80828-1120
(719) 775-2367
(719) 775-2365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7338
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7338
LICENSE
CO
Enumeration date
06/13/2007
Last updated
07/08/2007
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