Organization
ROBERT BUSAN DDS, PLLC
Active
Other names
Advanced Periodontics and Implant Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOGDAN ROBERT BUSAN DDS (OWNER)
(949) 285-3147
Entity
Organization
Contact information
Practice address
4035 MORSAY DR STE 1, ROCKFORD, IL 61107-4875
(815) 398-1376
Mailing address
4035 MORSAY DR STE 1, ROCKFORD, IL 61107-4875
(815) 398-1376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
08/26/2020
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