Individual
MARIA I BUSTAMANTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
121 E MCMILLAN ST, CINCINNATI, OH 45219-2606
(513) 721-2444
(513) 721-2398
Mailing address
969 PARADROME ST, #101, CINCINNATI, OH 45202-6020
(513) 621-0783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8198
OH
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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