John Carl Busey, LD Valid NPI

Individual provider · Denturist · Salem, OR

NPI

1609902881

Type

Individual (Type 1)

Primary specialty

Denturist

Specialty group

Dental Providers

Taxonomy code

122400000X

License number

DT-DO-740446 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-24

Last updated

2017-01-17