Provider Demographics
NPI:1376629931
Name:BUI, TRINITY T (DMD)
Entity Type:Individual
Prefix:DR
First Name:TRINITY
Middle Name:T
Last Name:BUI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:TRINH
Other - Middle Name:T
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:9154 EAGLE POINT LOOP RD SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-1056
Mailing Address - Country:US
Mailing Address - Phone:206-403-3734
Mailing Address - Fax:
Practice Address - Street 1:2302 S UNION AVE STE C27
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1334
Practice Address - Country:US
Practice Address - Phone:253-761-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000106651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice