NPI 1659971331

Malissa a Bustamante, RDH

Practitioner Dental Hygienist Kailua, HI

Practice location

Address: 1101 5th St 21st Dental Clinic, Kailua, HI 96734
Phone: (808) 257-3365
Mailing address: 1720 Ala Moana Blvd APT F201, Honolulu, HI 96815-1356

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902016933 (MI)

Other Dental Hygienist providers in Hawaii →

Registry record

NPI: 1659971331
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2020
Record last updated: 30 Oct 2020

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.