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Individual

DAVID J BUSCIGLIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD PA

Contact information

Practice address
611 LUMSDEN PROFESSIONAL COURT, BRANDON, FL 33511
(813) 685-6200
(813) 200-3910
Mailing address
611 LUMSDEN PROFESSIONAL COURT, BRANDON, FL 33511
(813) 685-6200
(813) 200-3910

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13764
FL
1223G0001X
General Practice Dentistry
DN13764
FL
332B00000X
Durable Medical Equipment & Medical Supplies
DN13764
FL

Other

Enumeration date
05/08/2008
Last updated
03/17/2017
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