Individual
JAMES BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 SAINT CLAIR CIR, LIGONIER, PA 15658-8747
(724) 493-3953
Mailing address
111 SAINT CLAIR CIR, LIGONIER, PA 15658-8747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10263
OR
1223P0221X
Pediatric Dentistry
Primary
D10263
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2015
Last updated
07/06/2015
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