Provider Demographics
NPI:1598807489
Name:BUYAMA, ROLAND MASAYUKI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:MASAYUKI
Last Name:BUYAMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-3036
Mailing Address - Country:US
Mailing Address - Phone:760-722-1042
Mailing Address - Fax:760-722-1783
Practice Address - Street 1:101 S NEVADA ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-3036
Practice Address - Country:US
Practice Address - Phone:760-722-1042
Practice Address - Fax:760-722-1783
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444581223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA44458OtherHEALTHY FAMILY
CA44458OtherMEDICAL