Individual
DR. CYNTHIA BUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9971 W FLAGLER ST STE 220, MIAMI, FL 33174-1824
(786) 418-3074
Mailing address
6622 ATLANTA ST, HOLLYWOOD, FL 33024-2965
(305) 302-6201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22795
FL
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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