JOHN CARL BUSEY

SALEM, OR
NPI1609902881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-740446)
Enumeration Date2007-02-24
Last Update Date2017-01-17
Business Address
Mr. JOHN CARL BUSEY LD
758 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-364-8265
Mailing Address
Mr. JOHN CARL BUSEY LD
758 HAWTHORNE AVE NE
SALEM, OR 97301-4675
Phone number: 503-364-8265