Individual
DR. DEREK MICHAEL BUSCIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 CORNER DR, BRANDON, FL 33511-5718
(813) 681-9473
Mailing address
515 CORNER DR, BRANDON, FL 33511-5718
(813) 681-9473
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16946
FL
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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