Individual provider · Type 1 NPI

Miguel Ismael Bustamante, DDS

General Practice Dentistry · Bolinas, CA

NPI number 1194160341 Active

Practice location

24 Wharf Road
Bolinas, CA 94924

Fax (415) 868-2324

Mailing address

PO Box 975
Bolinas, CA 94924-0975

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X034821 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1194160341

Miguel Ismael Bustamante, DDS's National Provider Identifier is 1194160341, issued on May 1, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bolinas, CA. The record was last updated on May 1, 2013.