Provider Demographics
NPI:1083894810
Name:LYNNA BK BUI, DDS, MPH, APC
Entity Type:Organization
Organization Name:LYNNA BK BUI, DDS, MPH, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:650-853-1414
Mailing Address - Street 1:1900 UNIVERSITY AVE
Mailing Address - Street 2:SUITE #106
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-2212
Mailing Address - Country:US
Mailing Address - Phone:650-853-1414
Mailing Address - Fax:650-853-1441
Practice Address - Street 1:1900 UNIVERSITY AVE
Practice Address - Street 2:SUITE #106
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-2212
Practice Address - Country:US
Practice Address - Phone:650-853-1414
Practice Address - Fax:650-853-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty