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:
Health care specialties
| Specialty | Code | License # | 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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