Corazon V. Bustos, D.m.d.
NPI #1811243942 in Baldwin Park, California
Provider Information
- NPI Number
- 1811243942
- Entity Type
- Organization
- Organization Name
- Corazon V. Bustos, D.m.d.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 26, 2012
- Last Updated
- Jul 26, 2012
Practice Location
- Address
- 4322 N. MAINE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-3314
- Phone
- (626) 962-3353
Authorized Official
- Name
- MRS. CORAZON VIRATA BUSTOS SR., D.M.D.
- Title
- PRESIDENT
- Phone
- (626) 962-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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