NPI | 1851315386 |
---|---|
Former Legal Business Name | DAVID R. MUSICH, D.D.S. & MATTHEW J. BUSCH, D.D.S. LTD |
Entity Type | Organization |
Authorized Contact | MATTHEW J. BUSCH President 847-517-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 060-002183) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2019-03-29 |