Individual
DR. VASHTI BUESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(077) 502-6176
Mailing address
1355 W FILLMORE ST APT 1, CHICAGO, IL 60607-0023
(707) 502-6176
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019.034253
IL
1223G0001X
General Practice Dentistry
D11329
OR
Other
Enumeration date
09/10/2020
Last updated
07/28/2023
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