Provider Demographics
NPI:1851305338
Name:BUI, MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:BUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 N LOS COYOTES DIAGONAL STE 250
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-3939
Mailing Address - Country:US
Mailing Address - Phone:562-496-3230
Mailing Address - Fax:562-496-3929
Practice Address - Street 1:3320 N LOS COYOTES DIAGONAL STE 250
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-3939
Practice Address - Country:US
Practice Address - Phone:562-496-3230
Practice Address - Fax:562-496-3929
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1045091223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice