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DR. JOSE LUIS BUSTOS D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1023440955

Individual Registrant:
DR. JOSE LUIS BUSTOS D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
18661 HWY 120  GROVELAND, CA 95321-9432 US
Tel: 209-962-5234  Fax: 209-962-5235

Contact information for business:
18661 HWY 120 P.O. BOX 886 GROVELAND, CA 95321-9432 US
Tel: 209-962-5234  Fax: 209-962-5235

Registration Information:
NPI: 1023440955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA27246

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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