California
Department of Consumer Affairs
BUSTAMANTE MANUEL ANTONIO
Dental License
License number
29218
Date granted
10/16/1980
Date expires
09/30/2017
Class
Dental License
Status
Current
Address
11645 WILSHIRE BLVD., STE. 1160 LOS ANGELES CA 90025
californialicensing.org
ID 19782863
LAST UPDATED 2026-05-10 20:19:49 UTC
LAST UPDATED 2026-05-10 20:19:49 UTC
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