Corazon Virata Bustos, D.M.D.

General Practice Dentistry · Baldwin Park, CA

Individual Active NPI

NPI number 1952519738

Practice location

4322 Maine Ave
Baldwin Park, CA 91706-3314
Phone
(626) 962-3353
Fax
(626) 962-3353

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NPI record

NPI
1952519738
Entity type
Individual (Type 1)
Enumeration date
May 18, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 29219 CA

About Dr. Bustos

Corazon Virata Bustos, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4322 Maine Ave, Baldwin Park, CA 91706-3314. The NPI number 1952519738 was assigned on May 18, 2007 and the record was last updated on July 8, 2007.

Dr. Bustos lists a license in the registry: #29219 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corazon Virata Bustos, D.M.D.?

The NPI number is 1952519738.

What is the phone number of Dr. Bustos?

The phone number listed for the practice location is (626) 962-3353.

Where is Dr. Bustos located?

4322 Maine Ave, Baldwin Park, CA 91706-3314.

What is the taxonomy code for Dr. Bustos?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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