Organization
AFFILIATED DENTIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E BUSBY DDS (PRESIDENT)
(608) 274-9077
Entity
Organization
Contact information
Practice address
5601 ODANA RD, MADISON, WI 53719-1207
(608) 274-9077
(608) 274-9103
Mailing address
5601 ODANA RD, MADISON, WI 53719-1207
(608) 274-9077
(608) 274-9103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002053
WI
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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