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Robert Busan Dds, Pllc
Dental Clinic/Center in Rockford, Illinois
NPI 1932666922

Robert Busan Dds, Pllc is a Dental Clinic/Center based in Rockford, IL and is specialized in Dental. Robert Busan Dds, Pllc practices in Rockford, IL. The NPI Number for Robert Busan Dds, Pllc is 1932666922 and holds a License No. (Illinois).

The current practice location address for Robert Busan Dds, Pllc is 4035 Morsay Dr Ste 1, Rockford, IL and can be reached out via phone at 815-398-1376.

Location: 4035 Morsay Dr Ste 1, Rockford, IL, 61107-4875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932666922
Provider Name
Robert Busan Dds, Pllc
Credential
Provider Entity Type
Organization
Address
4035 Morsay Dr Ste 1, Rockford, IL, 61107-4875
Phone Number
815-398-1376
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4035 Morsay Dr Ste 1
City
Rockford
State
Illinois
Zip
61107-4875
Phone Number
815-398-1376
Fax Number
person
Provider Business Mailing Address Details
Address
4035 Morsay Dr Ste 1
City
Rockford
State
Illinois
Zip
61107-4875
Phone Number
815-398-1376
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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