Individual
DR. CARLA W. BUSTILLO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1455 MAIN ST, TEWKSBURY, MA 01876-4769
(978) 851-7112
(978) 851-7112
Mailing address
1445 MAIN ST, TEWKSBURY, MA 01876-4723
(978) 851-7112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20116
MA
1223G0001X
General Practice Dentistry
Primary
20116
MA
Other
Enumeration date
03/28/2007
Last updated
05/26/2025
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