DR. Corazon Virata Bustos, D.M.D.
NPI #1952519738 in Baldwin Park, California
Provider Information
- NPI Number
- 1952519738
- Entity Type
- Individual
- Name
- DR. Corazon Virata Bustos, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4322 MAINE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-3314
- Phone
- (626) 962-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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