| William J Busacca Dds, Ps | |
|
1525 Olympic Hwy N Shelton WA 98584-3049 | |
| (360) 426-9711 | |
| (360) 426-6361 |
| Full Name | William J Busacca Dds, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1525 Olympic Hwy N, Shelton, Washington |
| Authorized Official Name and Position | Leah R Hendrickson (OFFICE MANAGER) |
| Authorized Official Contact | 3604269711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Busacca Dds, Ps 1525 Olympic Hwy N Shelton WA 98584-3049 Ph: (360) 426-9711 | William J Busacca Dds, Ps 1525 Olympic Hwy N Shelton WA 98584-3049 Ph: (360) 426-9711 |
| NPI Number | 1043592397 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043592397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4275 (Washington) | Primary |
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