NPI 1073087847

Christine Bustamante

Practitioner Dental Assistant Pomona, CA

Practice location

Address: 763 Rio Rancho Rd STE 120, Pomona, CA 91766-7015
Phone: (909) 243-7939

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 77989 (CA)

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Registry record

NPI: 1073087847
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2019
Record last updated: 15 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.