Individual
DR. SHILPA SUBHASH BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
11134 SHIREGREEN LN, FORT WAYNE, IN 46814-9323
(317) 691-8191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8423
NC
Other
Enumeration date
09/14/2006
Last updated
05/23/2013
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