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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