Dr Walter B Busse &associates Ltd | |
536 E 162nd St South Holland IL 60473-2326 | |
(708) 331-2322 | |
Not Available |
Full Name | Dr Walter B Busse &associates Ltd |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 536 E 162nd St, South Holland, Illinois |
Authorized Official Name and Position | Walter Berge Busse (PRESIDENT) |
Authorized Official Contact | 7083312322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Walter B Busse &associates Ltd 536 E 162nd St South Holland IL 60473-2326 Ph: (708) 331-2322 | Dr Walter B Busse &associates Ltd 536 E 162nd St South Holland IL 60473-2326 Ph: (708) 331-2322 |
NPI Number | 1154578698 |
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Provider Enumeration Date | 08/27/2008 |
Last Update Date | 08/27/2008 |
Identifier | Type | State | Issuer |
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1154578698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019014809 (Illinois) | Primary |
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