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Organization
HOMESTEAD MODERN DENTISTRY, PA
Active
Organization
HOMESTEAD MODERN DENTISTRY, PA
Active
Other names
Homestead Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA BUSTILLO DMD (OWNER)
(786) 410-6656
Entity
Organization
Contact information
Practice address
805 N HOMESTEAD BLVD, HOMESTEAD, FL 33030-5024
(786) 410-6656
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
05/11/2022
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