Bustamante, Christine

Bustamante, Christine is an individual health care provider with primary practice located at 763 Rio Rancho Rd Ste 120 , Pomona CA 91766-7015. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bustamante, Christine can be contacted via phone (909) 243-7939.

Contact Information

Primary practice address
763 Rio Rancho Rd Ste 120 Pomona CA 91766-7015
Phone: (909) 243-7939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 77989 California

Profile Details

NPI number 1073087847
LBN Legal business name Bustamante, Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Jan 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073087847 NPPES
California MEDICAID 77989

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