IndividualActive
Carolyn Bustillos
NPI 1508008467 · Dental Assistant · Kodiak, AK
Provider details
- NPI number
- 1508008467
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 38985 (CA)
Specialties & taxonomies
Dental Providers
Practice location
Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Phone: (907) 487-5757
Fax: (907) 487-5360
Approximate (ZIP-level) locationGet directions
Mailing address
Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Registry dates
- Enumerated
- 2009-03-24
- Last updated
- 2009-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.