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Contact Information

MANUEL A BUSTAMANTE, DDS
11645 WILSHIRE BLVD
SUITE 1160
LOS ANGELES, CA90025-6811
 Phone: 310-473-5559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MANUEL A BUSTAMANTE · (Male)

NPI # 1912211426
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/27/2010
Last updated 07/27/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 29218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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