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DR. MICHAEL PETER BELLUSCIO D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1912904020

Individual Registrant:
DR. MICHAEL PETER BELLUSCIO D.D.S.
Gender: M

Location and contact information for practice:
1003 LONI DR  FORTUNA, CA 95540-2347 US
Tel: 707-725-6918  Fax: 707-725-0551

Contact information for business:
1003 LONI DR  FORTUNA, CA 95540-2347 US
Tel: 707-725-6918  Fax: 707-725-0551

Registration Information:
NPI: 1912904020
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA029558

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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