| Corazon V. Bustos, D.m.d. | |
|
4322 N. Maine Ave Baldwin Park CA 91706-3314 | |
| (626) 962-3353 | |
| (626) 962-3353 |
| Full Name | Corazon V. Bustos, D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4322 N. Maine Ave, Baldwin Park, California |
| Authorized Official Name and Position | Corazon Virata Bustos (PRESIDENT) |
| Authorized Official Contact | 6269623353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corazon V. Bustos, D.m.d. 4322 N. Maine Ave Baldwin Park CA 91706-3314 Ph: (626) 962-3353 | Corazon V. Bustos, D.m.d. 4322 N. Maine Ave Baldwin Park CA 91706-3314 Ph: (626) 962-3353 |
| NPI Number | 1811243942 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811243942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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