Bustamante, Malissa A

Bustamante, Malissa A is an individual health care provider with primary practice located at 1101 5Th St 21St Dental Clinic, Kailua HI 96734. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bustamante, Malissa A can be contacted via phone (808) 257-3365.

Contact Information

Primary practice address
1101 5Th St 21St Dental Clinic Kailua HI 96734
Phone: (808) 257-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902016933 Michigan

Profile Details

NPI number 1659971331
LBN Legal business name Bustamante, Malissa A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2020
Last updated Oct 30th, 2020 - about 5 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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