Carolyn D Bustillos

NPI 1508008467 - Dental Assistant - 126800000X

NPI Details
NPI 1508008467
Gender Female
Enumeration Date 03/24/2009
Last Updated 03/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
BUILDING N-46 CAPE SARICHEF
KODIAK AK, 99619-5002, US
Phone (907) 487-5757
Fax (907) 487-5360
Business Location
BUILDING N-46 CAPE SARICHEF
KODIAK AK, 99619-5002, US
Phone (907) 487-5757
Fax (907) 487-5360
Toxanomy
Taxonomy Code 126800000X
License State California
License Number 38985
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According to our database, Carolyn D Bustillos NPI is 1508008467, taxonomy code is 126800000X and license number is 38985, license state is located at California. Carolyn D Bustillos physically located at Building N-46 Cape Sarichef, Kodiak AK, 99619-5002. NPI Number Carolyn D Bustillos has the Individual type.

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1508008467 NPI number is provided on an as is basis without warranty of any kind. 1508008467 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn D Bustillos are for informational purposes only.