Individual
NICHOLAS ROBERT BUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11550 SHERIDAN BLVD STE 101, WESTMINSTER, CO 80020-3312
(303) 465-0922
(303) 691-0889
Mailing address
102 ARTHUR AVE SE, MINNEAPOLIS, MN 55414-3412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203126
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/17/2015
Last updated
09/12/2017
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