William J Busacca Dds, Ps

NPI 1043592397 - Dentist - 1223G0001X

NPI Details
NPI 1043592397
Enumeration Date 09/13/2011
Last Updated 09/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LEAH R LEAH
Position OFFICE MANAGER
Phone (360) 426-9711
Fax (360) 426-6361
Practice Location
1525 OLYMPIC HWY N
SHELTON WA, 98584-3049, US
Phone (360) 426-9711
Fax (360) 426-6361
Business Location
1525 OLYMPIC HWY N
SHELTON WA, 98584-3049, US
Phone (360) 426-9711
Fax (360) 426-6361
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number 4275
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According to our database, William J Busacca Dds, Ps NPI is 1043592397, taxonomy code is 1223G0001X and license number is 4275, license state is located at Washington. William J Busacca Dds, Ps physically located at 1525 Olympic Hwy N, Shelton WA, 98584-3049. NPI Number 1033115704 has the healthcare provider type.

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1043592397 NPI number is provided on an as is basis without warranty of any kind. 1043592397 is maintained by the National Plan & Provider Enumeration System. The contents of William J Busacca Dds, Ps are for informational purposes only.