TIMOTHY JAY BUSSICK

FORT WAYNE, IN
NPI1518131200
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN  12009656A)
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
-- TIMOTHY JAY BUSSICK D.D.S; M.S.
7207 ENGLE RD
FORT WAYNE, IN 46804-2231
Phone number: 260-436-2255
Mailing Address
-- TIMOTHY JAY BUSSICK D.D.S; M.S.
7207 ENGLE RD
FORT WAYNE, IN 46804-2231
Phone number: 260-436-2255
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