Individual
DR. DUSTIN J BOUWHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24585 DEL PRADO, SUITE H, DANA POINT, CA 92629-3821
(949) 487-2722
(949) 487-2723
Mailing address
24585 DEL PRADO STE H, DANA POINT, CA 92629
(949) 487-2722
(949) 487-2723
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
31527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-1743657
CORPORATION TAX ID
—
Enumeration date
07/22/2010
Last updated
05/15/2013
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