Miguel Ismael Bustamante
ActiveCalifornia license 34821
License
- Licensed by
- Dental Board of California
- License number
- 34821
- Status
- Active (Current)
- First issued
- August 1, 1986
- Expires
- April 30, 2028
- License holder
- Miguel Ismael Bustamante
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
24 Wharf Rd / PO Box 975
Bolinas, CA 94924
Bolinas, CA 94924
Marin County