BOGDAN ROBERT BUSAN

ROCKFORD, IL
NPI1285951004
Other NameROBERT BUSAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019028190)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: IL  021002454)
Enumeration Date2010-05-03
Last Update Date2024-04-30
Business Address
BOGDAN ROBERT BUSAN DDS
4035 MORSAY DR STE 1
ROCKFORD, IL 61107-4875
Phone number: 815-398-1376
Mailing Address
BOGDAN ROBERT BUSAN DDS
4035 MORSAY DR STE 1
ROCKFORD, IL 61107-4875
Phone number: 815-398-1376