Provider Demographics
NPI:1770652745
Name:BUI, LAM QUY SR (DDS)
Entity Type:Individual
Prefix:MR
First Name:LAM
Middle Name:QUY
Last Name:BUI
Suffix:SR
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 1:7705 GEORGIA AVENUE NW
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1618
Mailing Address - Country:US
Mailing Address - Phone:202-726-9112
Mailing Address - Fax:
Practice Address - Street 1:7705 GEORGIA AVENUE NW
Practice Address - Street 2:SUITE 107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1618
Practice Address - Country:US
Practice Address - Phone:202-726-9112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN4140122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist