NPI 1508008467

Carolyn D Bustillos

Practitioner Dental Assistant Kodiak, AK

Practice location

Address: Building N-46 Cape Sarichef, Kodiak, AK 99619-5002
Phone: (907) 487-5757
Fax: (907) 487-5360

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 38985 (CA)

Other Dental Assistant providers in Alaska →

Registry record

NPI: 1508008467
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2009
Record last updated: 24 Mar 2009

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.