MALISSA A BUSTAMANTE

KAILUA, HI
NPI1659971331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902016933)
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
MALISSA A BUSTAMANTE RDH
1101 5TH ST 21ST DENTAL CLINIC
KAILUA, HI 96734
Phone number: 808-257-3365
Mailing Address
MALISSA A BUSTAMANTE RDH
1720 ALA MOANA BLVD APT F201
HONOLULU, HI 96815-1356
Phone number: 757-692-9906
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