| NPI | 1699030478 |
|---|---|
| Former Legal Business Name | MARTHA BUSTILLO, D.M.D. |
| Entity Type | Organization |
| Authorized Contact | MARTHA BUSTILLO Dmd 301-345-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12200) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2016-09-26 |