Busan, Bogdan Robert

Busan, Bogdan Robert is an sole proprietor health care provider with primary practice located at 4035 Morsay Dr Ste 1 , Rockford IL 61107-4875. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Busan, Bogdan Robert can be contacted via phone (815) 398-1376.

Contact Information

Primary practice address
4035 Morsay Dr Ste 1 Rockford IL 61107-4875
Phone: (815) 398-1376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021002454 Illinois
Dental Providers / Dentist 122300000X 019028190 Illinois

Profile Details

NPI number 1285951004
LBN Legal business name Busan, Bogdan Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2010
Last updated Apr 30th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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