Search › Hawaii › 124Q00000X
Malissa Bustamante, RDH
NPI 1659971331 · on the registry since 2020
Practice
- Address
- 1101 5th St
21st Dental Clinic
Kailua, HI 96734 - Phone
- (808) 257-3365
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii