| NPI | 1255427480 |
|---|---|
| Doing Business As | BUSSICK ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAY BUSSICK President/CEO 260-436-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12009656) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-09 |